3PZ-31874-77837
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
-
2021-01-04
Survey response — day 0, dose 1MedDRA: Dysgeusia, Immediate post-injection reaction, Paraesthesia, Pharyngeal paraesthesia — Feeling: Fair · Site: PainFree text: I had a weird taste in my mouth when I got the shot and then I got a tingling feeling in my throat, that moved down to my neck and rt chest area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
-
2021-01-13
Survey response — day 7, dose 1MedDRA: Injection site rash, Injection site warmth — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection siteFree text: I developed a rash around my shot area, developed over a week after the shot, area is warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Erythema, Injection site pain, Injection site rash, Nervousness, Rash erythematous, Tenderness — Feeling: FairFree text: I have developed a rash that is the size of a big red square on my deltoid where my ahot was given. It has been there for a week and is tender in the red area. I'm nervous about getting my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
-
2021-02-03
Dose 2 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): I had a weird taste in my mouth when I got the shot and then I got a tingling feeling in my throat, that moved down to my neck and rt chest area.
Release 1 — day 7, dose 1
Systemic reaction (other): I developed a rash around my shot area, developed over a week after the shot, area is warm.
Release 2 — day 14, dose 1
Symptoms: I have developed a rash that is the size of a big red square on my deltoid where my ahot was given. It has been there for a week and is tender in the red area. I'm nervous about getting my second shot.
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 |
|---|---|---|---|---|
| SD | Erythema | ✓ | ✓ | ○ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nervousness | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ○ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release