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4A9-10230-81001

1 vaccination 4 coded responses 6 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
775 / TX
Registered
2021-08-28
Relationship
Self
Race
Black or African American
Ethnicity
N/A

Timeline

  1. 2021-08-26
    Dose 1 — Moderna
  2. 2021-08-28
    Registered in v-safe
  3. 2021-08-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral, Unevaluable event — Feeling: Fair
    Free text: Under my arm pit it's swollen make glands into my right breast
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  5. 2021-08-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-08-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Office visit, Respiratory symptom, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Middle of my chest kinds like upper respiratory infections I went to Dr. Thomas in lake Jackson Texas · Healthcare visit (other): Went to my doctor office
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-31
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-09-03
  9. 2021-09-04
    Survey response — day 7, dose 1
    MedDRA: Cough, Office visit, Pre-existing disease, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): It feels like I have an upper respiratory infection but I went to the doc my lungs are clear and I had a dry cough these things Occurred after I took the first shot I dont think I want to take the second shot I had Covid already last year · Healthcare visit (other): Doctors office visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-09-04
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-09-08
  12. 2021-09-09
    Survey response — day 14, dose 1
    MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Upper respiratory I had to get inhaler · Healthcare visit (other): Office
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-09-09
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-09-13

Vaccinations

DoseDateManufacturerCo-administered
12021-08-26Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-28

Systemic reaction (other): Under my arm pit it's swollen make glands into my right breast

2021-08-31

Systemic reaction (other): Middle of my chest kinds like upper respiratory infections I went to Dr. Thomas in lake Jackson Texas
Healthcare visit (other): Went to my doctor office

Release 9 — day 7, dose 1

2021-09-04

Systemic reaction (other): It feels like I have an upper respiratory infection but I went to the doc my lungs are clear and I had a dry cough these things Occurred after I took the first shot I dont think I want to take the second shot I had Covid already last year
Healthcare visit (other): Doctors office visit

Release 9 — day 14, dose 1

2021-09-09

Symptoms: Upper respiratory I had to get inhaler
Healthcare visit (other): Office

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDUnevaluable event · · ✓
SROCough ✓ · ✓
SROOedema peripheral ✓ · ✓
SROOffice visit ✓ · ✓
SROPre-existing disease ✓ · ✓
SRORespiratory symptom ✓ · ✓
SROUnevaluable event ✓ · ✓
SROUpper respiratory tract infection ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release