2WB-19588-16269
3 vaccinations
8 coded responses
29 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 783 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-01-13
Registered in v-safe
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
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2021-01-26
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Pyrexia, Self-medication — Feeling: GoodFree text: On day 8 Redness and swollen of the injection site. Become very red and swollen, developed a bump under the skin. Did devolve a small fever of 99.4 . Injectiin site is all better now no redness or bump anymore. No fever since that day. Took benadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
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2021-02-10
Dose 2 — Moderna
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-26
- 2021-03-11
- 2021-03-26
- 2021-08-11
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2021-10-23
Dose 3 — Moderna
- 2021-10-23
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen Armpit areaMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Redness, SwellingFree text: Swollen ArmpitMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Drug hypersensitivity, Emergency care, Oedema peripheral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Swollen armpit. Also had an allergic reaction to a medication i had been taking for 2 years. Had to be taken to ER.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-11-02
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2021-11-06
Survey response — day 14, dose 3MedDRA: Myalgia — Feeling: GoodFree text: Muscle sorness all over my back chest stomach and arms.MedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — day 28, dose 3MedDRA: Axillary mass, Eye infection, Immune system disorder, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Developed a cold and an eye infection. Im sure the shot didnt cause it but for sure has weakened my immune system. The lump under my arm os still the size of a base ball and medication form my dr is not helping it go down. However i did get over coldMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
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2021-12-06
Survey response — day 42, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My armpit isbstill swollen the size of a baseball. Just finished a round of antibiotics from the dr and still has not gone down.MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-07
- 2021-12-10
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: On day 8 Redness and swollen of the injection site. Become very red and swollen, developed a bump under the skin. Did devolve a small fever of 99.4 . Injectiin site is all better now no redness or bump anymore. No fever since that day. Took benadryl cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen Armpit area
Systemic reaction (other): Swollen Armpit
Systemic reaction (other): Swollen armpit
Systemic reaction (other): Swollen armpit. Also had an allergic reaction to a medication i had been taking for 2 years. Had to be taken to ER.
Release 10 — day 14, dose 3
Symptoms: Muscle sorness all over my back chest stomach and arms.
Release 10 — day 28, dose 3
Symptoms: Developed a cold and an eye infection. Im sure the shot didnt cause it but for sure has weakened my immune system. The lump under my arm os still the size of a base ball and medication form my dr is not helping it go down. However i did get over cold cut off by CDC
Release 10 — day 42, dose 3
Symptoms: My armpit isbstill swollen the size of a baseball. Just finished a round of antibiotics from the dr and still has not gone down.
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 |
|---|---|---|---|---|
| SD | Axillary mass | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Drug hypersensitivity | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release