3GB-33555-53468
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: GoodFree text: On day 8, the injection site (which had completely returned to normal) started itching, turned red and swollen. It was mild and lasted for about 3 days. It has returned to normal now and no other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Dose 2 — Moderna
-
2021-03-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Itching · Headache, Muscle or body achesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — day 7, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Theres a slight bruise at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-08-30
Survey response — 6 months, dose 2MedDRA: Bell's palsy, Facial paralysis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had Bells Palsy which started on June 23rd. I had complete paralysis on the right side of my face for about 3 weeks. I am completely fine now. It started about about 3.5 months after my second shot. No idea if its related or not. · Healthcare visit (other): PCP visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: On day 8, the injection site (which had completely returned to normal) started itching, turned red and swollen. It was mild and lasted for about 3 days. It has returned to normal now and no other symptoms.
Release 5 — day 7, dose 2
Systemic reaction (other): Theres a slight bruise at the injection site
Release 9 — 6 months, dose 2
Symptoms: I had Bells Palsy which started on June 23rd. I had complete paralysis on the right side of my face for about 3 weeks. I am completely fine now. It started about about 3.5 months after my second shot. No idea if its related or not.
Healthcare visit (other): PCP visit
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 | Bell's palsy | ✓ | · | ✓ |
| SD | Facial paralysis | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release