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
-
2021-08-26
Dose 1 — Moderna
-
2021-08-28
Registered in v-safe
-
2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral, Unevaluable event — Feeling: FairFree text: Under my arm pit it's swollen make glands into my right breastMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-29
- 2021-08-30
-
2021-08-31
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Respiratory symptom, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 officeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
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2021-09-04
Survey response — day 7, dose 1MedDRA: Cough, Office visit, Pre-existing disease, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
-
2021-09-09
Survey response — day 14, dose 1MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Upper respiratory I had to get inhaler · Healthcare visit (other): OfficeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-26 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Under my arm pit it's swollen make glands into my right breast
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
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
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 | Office visit | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Cough | ✓ | · | ✓ |
| SRO | Oedema peripheral | ✓ | · | ✓ |
| SRO | Office visit | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Respiratory symptom | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
| SRO | Upper respiratory tract infection | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release