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2VE-31978-17031

1 vaccination 3 coded responses 9 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
840 / UT
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-04-06
    Survey response — day 14, dose 1
    MedDRA: Erythema, Feeling hot, Injection site urticaria, Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Exactly one week after my vaccine my arm swelled up, about 3x as normal. It was red & hot. I then started breaking out in hives, that were starting from injection site and spread to my chest & all down the right side of my back. Had to see a Dr.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-13
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-04-20
    Survey response — day 28, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair
    Free text: I have felt out of it. Like a brain fog, since 1 week after my 1st vaccine. I'm not sure if it's related to the vaccine or not. Because of my weird reaction that I have, one week after my vaccine, my doctor recommended that I wait a couple of months.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-27
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-05-04
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-06-24
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-21
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2022-03-18
  13. 2022-03-23
    Survey response — 12 months, dose 1
    MedDRA: COVID-19, Fatigue, Headache, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had Covid in January. Have since then experienced heart palpitations, fatigue and headache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Exactly one week after my vaccine my arm swelled up, about 3x as normal. It was red & hot. I then started breaking out in hives, that were starting from injection site and spread to my chest & all down the right side of my back. Had to see a Dr.

Release 7 — day 28, dose 1

2021-04-20

Symptoms: I have felt out of it. Like a brain fog, since 1 week after my 1st vaccine. I'm not sure if it's related to the vaccine or not. Because of my weird reaction that I have, one week after my vaccine, my doctor recommended that I wait a couple of months. cut off by CDC

Release 11 — 12 months, dose 1

2022-03-23

Symptoms: Had Covid in January. Have since then experienced heart palpitations, fatigue and headache

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDErythema ✓ ✓ ✓
SDFatigue · · ✓
SDFeeling abnormal ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache · · ✓
SDInjection site urticaria ✓ ✓ ✓
SDPalpitations · · ✓
SDPeripheral swelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release