353-31552-59372
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 784 / TX
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-02-02
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-28
Dose 2 — Moderna
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: High FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Medical counselling, Pain in extremity, Peripheral swelling, Pre-existing disease, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): The pain redness and swelling is NOT at the injection site. It is about 4 inches below encompassing the area on my right humerus where I have a stabilized secondary malignant neoplasm of the bone. The redness and swelling is a large area. This is an unusual occurrence and is worrisome. The injection did not swell or become red. · Healthcare visit (other): Contacted my radiation oncologist to notify him that the area radiated in 2017 swelled and is red after the moderna vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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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
- 2021-03-05
- 2021-03-06
- 2021-03-07
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2021-03-14
Survey response — day 14, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat and slight headache started Thursday, March 11th, but much improved today. Will have a COVID test done on 03-15-21 because of a scheduled colonoscopy on Thursday, March 18.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-04-11
- 2021-05-30
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Computerised tomogram abnormal, Office visit, Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lung nodules in both lungs on CT scan. · Healthcare visit (other): Dr. F2F consultation.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-12-06
Dose 3 — Moderna
- 2022-02-28
-
2022-04-28
Dose 4 — Moderna
- 2022-04-28
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessFree text: FeverMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Pre-existing disease — Feeling: Good · Site: Pain, Redness · FeverFree text: I have a red area on my right humerus where bone cancer was diagnosed in 2015. This is the second time a large red patch develops in that area.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-12
- 2022-05-19
- 2022-06-09
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): High Fever
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The pain redness and swelling is NOT at the injection site. It is about 4 inches below encompassing the area on my right humerus where I have a stabilized secondary malignant neoplasm of the bone. The redness and swelling is a large area. This is an unusual occurrence and is worrisome. The injection did not swell or become red.
Healthcare visit (other): Contacted my radiation oncologist to notify him that the area radiated in 2017 swelled and is red after the moderna vaccine.
Release 5 — day 14, dose 2
Symptoms: Sore throat and slight headache started Thursday, March 11th, but much improved today. Will have a COVID test done on 03-15-21 because of a scheduled colonoscopy on Thursday, March 18.
Release 9 — 6 months, dose 2
Symptoms: Lung nodules in both lungs on CT scan.
Healthcare visit (other): Dr. F2F consultation.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fever
Systemic reaction (other): I have a red area on my right humerus where bone cancer was diagnosed in 2015. This is the second time a large red patch develops in that area.
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 | Erythema | · | · | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Swelling | · | · | ✓ |
| SD | Computerised tomogram abnormal | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pulmonary mass | ✓ | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ○ |
| SRO | Injection site swelling | ✓ | ✓ | ○ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release