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34L-21529-28231

3 vaccinations 8 coded responses 17 check-ins 8 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
791 / TX
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-04
    Dose 2 — Moderna
  3. 2021-03-06
    Registered in v-safe
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness
    Adult check-in
  5. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness, Swelling
    Free text: Large red area on arm where injection given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Upper arm still red and itchy, but considerably less
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Redness, Itching
    Free text: Arm that received shot: no swelling now decreased red
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Redness, Itching
    Free text: Arm redness now dull color fading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Survey response — day 7, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Itching
    Free text: Can see area that was red outlined on arm, but not really red any longer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-25
    Survey response — day 21, dose 2
    MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Sinus infection · Healthcare visit (other): Had negative covid test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-25
    Report sent to call center — day 21, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-15
    Survey response — day 42, dose 2
    MedDRA: Gastroenteritis — 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: Had gastroenteritis - I don't believe it is related to the shot as it is currently going around our area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-15
    Report sent to call center — day 42, dose 2
    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)
  17. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-02
    Survey response — 6 months, dose 2
    MedDRA: Food poisoning, Gastroenteritis — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Gastroenteritis due to food poisoning
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-09-02
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  20. 2021-09-03
  21. 2021-12-02
    Dose 3 — Moderna
  22. 2022-03-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-06-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-12-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna
32021-12-02Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Large red area on arm where injection given

2021-03-08

Systemic reaction (other): Upper arm still red and itchy, but considerably less

2021-03-09

Systemic reaction (other): Arm that received shot: no swelling now decreased red

2021-03-10

Systemic reaction (other): Arm redness now dull color fading

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Can see area that was red outlined on arm, but not really red any longer

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Sinus infection
Healthcare visit (other): Had negative covid test

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Had gastroenteritis - I don't believe it is related to the shot as it is currently going around our area.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Gastroenteritis due to food poisoning

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
HCVOSARS-CoV-2 test negative ✓ ✓ ✓
SDFood poisoning ✓ · ✓
SDGastroenteritis ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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