3HE-11407-02904
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
-
2020-12-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Headache, NauseaAdult check-in
- 2020-12-26
- 2020-12-29
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Pre-existing disease, Self-medication, Urticaria — Feeling: FairFree text: Allergies have been slightly worse, broke out in hives all over body last night for no apparent reason and had to take benadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — day 21, dose 1MedDRA: Chest pain, Cough, Oropharyngeal pain, Pharyngeal swelling, Pre-existing disease, Urticaria, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have mild allergies/asthma. On 1/6 i broke out in hives all over for no reason, and and on 1/9 i had throat swelling, asthma type cough, chest/throat pain, wheezing for no reason. I rarely take benadryl for allergies but needed to 2x last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Dose 2 — Moderna
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Medical counselling, Pain, Pharyngeal swelling, Pyrexia, Swelling face, Wheezing — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Hours after getting the vaccine on 1/19 i had an allergic reaction, throat/face swelling, wheezing, fever up to 102.5, severe body aches. Consulted with provider and had to take benadryl/ibuprofen and inhaler. Those symptoms resolved after 1st 24hrs. · Healthcare visit (other): Consulted with Occ Health where i work and got the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-24
- 2021-03-04
- 2021-04-21
- 2021-05-05
- 2021-07-20
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 1 — day 14, dose 1
Symptoms: Allergies have been slightly worse, broke out in hives all over body last night for no apparent reason and had to take benadryl
Release 1 — day 21, dose 1
Symptoms: I have mild allergies/asthma. On 1/6 i broke out in hives all over for no reason, and and on 1/9 i had throat swelling, asthma type cough, chest/throat pain, wheezing for no reason. I rarely take benadryl for allergies but needed to 2x last week.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Hours after getting the vaccine on 1/19 i had an allergic reaction, throat/face swelling, wheezing, fever up to 102.5, severe body aches. Consulted with provider and had to take benadryl/ibuprofen and inhaler. Those symptoms resolved after 1st 24hrs.
Healthcare visit (other): Consulted with Occ Health where i work and got the vaccine
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release