2MA-26869-66288
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 803 / CO
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
-
2021-01-11
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort, Pain in extremity — Feeling: GoodFree text: My arm was slightly sore yesterday 5 hours after the shot. Today there is tiny discomfort when I press down in the shot area. Hardly noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-27
- 2021-02-03
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Salivary gland enlargement — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have a swollen salivary gland on opposite side of vaccination. Dr.?said probably not related to my shot yesterday · Healthcare visit (other): Family practiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-05-10
Survey response — 3 months, dose 2MedDRA: Renal mass — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Mass in kidneyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
-
2021-08-09
Survey response — 6 months, dose 2MedDRA: Pelvic venous thrombosis, Uterine leiomyoma — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: In May I had a retro peritoneal fibroid that is shrinking and a pelvic area blood clot whckAtaigaediciefr.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
-
2021-08-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): No
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): My arm was slightly sore yesterday 5 hours after the shot. Today there is tiny discomfort when I press down in the shot area. Hardly noticeable.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I have a swollen salivary gland on opposite side of vaccination. Dr.?said probably not related to my shot yesterday
Healthcare visit (other): Family practice
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 8 — 3 months, dose 2
Symptoms: Mass in kidney
Release 9 — 6 months, dose 2
Symptoms: In May I had a retro peritoneal fibroid that is shrinking and a pelvic area blood clot whckAtaigaediciefr.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Pelvic venous thrombosis | ✓ | · | ✓ |
| SD | Renal mass | ✓ | ✓ | ✓ |
| SD | Uterine leiomyoma | ✓ | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Salivary gland enlargement | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release