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
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2021-02-04
Dose 1 — Moderna
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2021-03-04
Dose 2 — Moderna
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2021-03-06
Registered in v-safe
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Redness, SwellingFree text: Large red area on arm where injection givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Upper arm still red and itchy, but considerably lessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, ItchingFree text: Arm that received shot: no swelling now decreased redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, ItchingFree text: Arm redness now dull color fadingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 2MedDRA: Erythema — Feeling: Good · Site: ItchingFree text: Can see area that was red outlined on arm, but not really red any longerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 2MedDRA: 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 visitFree text: Symptoms: Sinus infection · Healthcare visit (other): Had negative covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 21, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-04-08
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2021-04-15
Survey response — day 42, dose 2MedDRA: 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 visitFree 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
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2021-04-15
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: Gastroenteritis due to food poisoningMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-03
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2021-12-02
Dose 3 — Moderna
- 2022-03-04
- 2022-03-04
- 2022-06-02
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Large red area on arm where injection given
Systemic reaction (other): Upper arm still red and itchy, but considerably less
Systemic reaction (other): Arm that received shot: no swelling now decreased red
Systemic reaction (other): Arm redness now dull color fading
Release 5 — day 7, dose 2
Systemic reaction (other): Can see area that was red outlined on arm, but not really red any longer
Release 6 — day 21, dose 2
Release 7 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Food poisoning | ✓ | · | ✓ |
| SD | Gastroenteritis | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release