3VH-23523-13482
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-04-14
Registered in v-safe
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-20
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Lip swelling, Urticaria — Feeling: FairFree text: I'm having an allergic reaction. My upper lip is slightly swollen and I have welts on both of my upper arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Dose 2 — Moderna
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2021-05-12
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Upper left arm is swollen and painful all the way around it, including the under arm. It was instant right after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Impaired work ability, Loss of personal independence in daily activities, Swelling, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I've developed severe swelling and pain in my lower back. It has made the last three days very hard to to work and do normal activities. I'm seeing a primary doctor tomorrow. · Healthcare visit (other): Made appointment for tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 14, dose 1
Symptoms: I'm having an allergic reaction. My upper lip is slightly swollen and I have welts on both of my upper arms.
Release 8 — day 0, dose 2
Systemic reaction (other): Upper left arm is swollen and painful all the way around it, including the under arm. It was instant right after the shot.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I've developed severe swelling and pain in my lower back. It has made the last three days very hard to to work and do normal activities. I'm seeing a primary doctor tomorrow.
Healthcare visit (other): Made appointment for tomorrow
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release