3CZ-25082-30546
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 780 / TX
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
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2021-01-23
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Soreness going down arm toward elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good · Site: PainFree text: Arm still is aching where vaccine was given going down toward elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
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2021-02-22
Survey response — day 28, dose 1MedDRA: Epistaxis, Gastroenteritis viral — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad nosebleed Sunday morning. Stomach virus Sunday afternoon through this afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Dose 2 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Really bad nosebleed that I had a hard time stopping. Lots of blood.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I had another very bad nosebleed. It took about 30 minutes to stop it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-13
Survey response — day 14, dose 2MedDRA: Fungal infection, Office visit, Pain, Pruritus — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe painful and itching year type infection since last Sunday, March 7. Dr. Called in treatment on Tues which did not help. Went into Dr. on Thursday with two prescriptions called in. Much better starting today, March 13. · Healthcare visit (other): Walk-in to dr. OfficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 14, 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)
- 2021-03-20
- 2021-03-27
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2021-04-03
Survey response — day 35, dose 2MedDRA: Epistaxis — Feeling: Poor · 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: 4 severe nosebleeds this week with getting my nostril packed today at an emergency clinic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
- 2021-05-29
- 2021-06-15
- 2021-06-15
- 2021-08-28
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Soreness going down arm toward elbow
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Arm still is aching where vaccine was given going down toward elbow
Release 4 — day 28, dose 1
Symptoms: Bad nosebleed Sunday morning. Stomach virus Sunday afternoon through this afternoon.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Really bad nosebleed that I had a hard time stopping. Lots of blood.
Systemic reaction (other): I had another very bad nosebleed. It took about 30 minutes to stop it.
Release 5 — day 14, dose 2
Symptoms: Severe painful and itching year type infection since last Sunday, March 7. Dr. Called in treatment on Tues which did not help. Went into Dr. on Thursday with two prescriptions called in. Much better starting today, March 13.
Healthcare visit (other): Walk-in to dr. Office
Release 6 — day 35, dose 2
Symptoms: 4 severe nosebleeds this week with getting my nostril packed today at an emergency clinic.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Fungal infection | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pain | ○ | ✓ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release