3WC-79101-65168
5 vaccinations
5 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 339 / FL
- Registered
- 2022-10-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-23
Dose 2 — Moderna
-
2021-11-29
Dose 3 — Moderna
-
2022-06-28
Dose 4 — Moderna
-
2022-10-17
Dose 5 — Moderna
-
2022-10-18
Registered in v-safe
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2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Body temperature increased, Feeling hot, Flushing — Feeling: Fair · Site: Redness · Fever · ChillsFree text: Flushing of the face, especially cheeks. Note that my normal body temp is around 97.4F so 98.7 is a slight fever for me. My face face feels very hot and looks quite flushed, more so than yesterday.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Discomfort, Feeling hot, Flushing, Pain, Skin burning sensation, Skin erosion, Swelling face — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Facial flushing has continued into a third full day. It looked like it was improving yesterday, but today it is worse. My face is hot, swollen, and raw, and it burns and sometimes stings. It's very uncomfortable.MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Erythema, Medical counselling, Swelling face — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The redness and swelling on my face are in their 4th day now. Redness has relaxed to more pink, but still swollen. I went photos to my nurse epidemiologist friend who said this is DEFINITELY not a normal reaction and should be reported to the CDC!MedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — day 7, dose 5MedDRA: Rash, Swelling face — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The facial rash/swelling are FINALLY abating today after 5 days (7 days after shot). Could someone contact me and advise me how to send photos to you? I believe this is NOT a normal reaction.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-12-01
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2023-01-19
Survey response — 3 months, dose 5MedDRA: Gastroenteritis viral, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | No |
| 2 | 2021-04-23 | Moderna | No |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-06-28 | Moderna | No |
| 5 | 2022-10-17 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Flushing of the face, especially cheeks. Note that my normal body temp is around 97.4F so 98.7 is a slight fever for me. My face face feels very hot and looks quite flushed, more so than yesterday.
Systemic reaction (other): Facial flushing has continued into a third full day. It looked like it was improving yesterday, but today it is worse. My face is hot, swollen, and raw, and it burns and sometimes stings. It's very uncomfortable.
Systemic reaction (other): The redness and swelling on my face are in their 4th day now. Redness has relaxed to more pink, but still swollen. I went photos to my nurse epidemiologist friend who said this is DEFINITELY not a normal reaction and should be reported to the CDC!
Release 12 — day 7, dose 5
Systemic reaction (other): The facial rash/swelling are FINALLY abating today after 5 days (7 days after shot). Could someone contact me and advise me how to send photos to you? I believe this is NOT a normal reaction.
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
| SRO | Skin erosion | · | · | ✓ |
| SRO | Swelling face | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release