4BP-60890-55324
2 vaccinations
12 coded responses
22 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 782 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-28
Dose 1 — Moderna
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2021-01-30
Registered in v-safe
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Genital swelling, Peripheral swelling, Swelling face — Feeling: Fair · Site: Pain, Swelling, ItchingFree text: Swelling in the face hands and legs and genital areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-06
- 2021-02-11
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2021-02-18
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-02-27
Dose 2 — Moderna
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: PerspiringMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Swollen gland for 4 days so farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Headache, Muscle or body aches, NauseaFree text: Swollen lymph nodes under arm that received the injection andMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Lymph node swelling is small nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 14, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: FairFree text: Foggy and tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 21, dose 2MedDRA: Abdominal distension, Abdominal pain upper, Diarrhoea, Flatulence — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe gas and bloated ness , Diarrhea , stomach painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 21, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-27
Survey response — day 28, dose 2MedDRA: Abdominal pain — Feeling: Poor · Be unable to workFree text: Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 35, dose 2MedDRA: Abdominal distension, Office visit, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Still have the bloated intestine and the pain has decreased · Healthcare visit (other): Specialist gastro surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-11
Survey response — day 42, dose 2MedDRA: Night sweats, Specialist consultation — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Night sweat · Healthcare visit (other): Specialist GastroMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
- 2021-06-15
- 2021-06-15
- 2021-06-15
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2021-08-30
Survey response — 6 months, dose 2MedDRA: Gastrointestinal inflammation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Still have Gastro inflammationMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-01
- 2021-09-07
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling in the face hands and legs and genital area
Release 4 — day 21, dose 1
Symptoms: Fatigue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Perspiring
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen gland for 4 days so far
Systemic reaction (other): Swollen lymph nodes under arm that received the injection and
Release 5 — day 7, dose 2
Systemic reaction (other): Lymph node swelling is small now
Release 5 — day 14, dose 2
Symptoms: Foggy and tired
Release 6 — day 21, dose 2
Symptoms: Severe gas and bloated ness , Diarrhea , stomach pains
Release 6 — day 28, dose 2
Symptoms: Abdominal pain
Release 6 — day 35, dose 2
Symptoms: Still have the bloated intestine and the pain has decreased
Healthcare visit (other): Specialist gastro surgeon
Release 7 — day 42, dose 2
Release 9 — 6 months, dose 2
Symptoms: Still have Gastro inflammation
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 | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gastrointestinal inflammation | ✓ | · | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Genital swelling | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release