2T8-13591-14291
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Feeling abnormal — Feeling: GoodFree text: Fogginess...metallic tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Angioedema, Hypersensitivity, Office visit — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Angioedema around mid nite ..suspected shellfish allergy...no history of allergy to shellfish · Healthcare visit (other): My PCP advised me to visit the ER rather than an office bisitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Angioedema — Feeling: Fair · Site: Pain · Fever · Headache · Be unable to workFree text: Still angioedema ...possible shellfish allergy ...no previous historyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 2MedDRA: Angioedema, Self-medication — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have had 3 angioedema episodes since my 2 nd injection...I dont know it it food or amlodopine ( new med)...treated with Benadryl and steroids .1 ER visit/ 1 PCP visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-26
- 2021-08-31
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Fogginess...metallic taste
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Angioedema around mid nite ..suspected shellfish allergy...no history of allergy to shellfish
Healthcare visit (other): My PCP advised me to visit the ER rather than an office bisit
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Still angioedema ...possible shellfish allergy ...no previous history
Release 5 — day 14, dose 2
Symptoms: I have had 3 angioedema episodes since my 2 nd injection...I dont know it it food or amlodopine ( new med)...treated with Benadryl and steroids .1 ER visit/ 1 PCP visit
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 | Angioedema | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Angioedema | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release