4C6-21462-90880
4 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 750 / TX
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
-
2020-12-23
Survey response — day 0, dose 1MedDRA: Lip swelling, Swollen tongue — Feeling: Good · Headache, NauseaFree text: brief sense of puff lips and tongue but went away in about 5 to 10 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache, Hypersomnia, Neck pain, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: on the 2nd, 3rd, and 4th days following the shot, i had pain, neck soreness, headache, chills, and fatigue that felt moderate. i slept about 12 hrs on two nights when I normally sleep 6 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-15
- 2021-01-20
-
2021-01-21
Dose 2 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-04-22
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: Electrocardiogram abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: EKG with abnormal results · Healthcare visit (other): visit with cardiologist and have another EKG with abnormal resultMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-11-05
Dose 3 — Moderna
- 2022-01-21
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-25
-
2022-04-28
Survey response — day 14, dose 4MedDRA: Chills, Fatigue, Headache, Neck pain, Pain — Feeling: GoodFree text: chills, body aches, fatigue, neck and head aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-14
-
2022-05-19
Survey response — day 35, dose 4MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Broke out with an itchy rash on my face and neck.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-07-14
- 2022-10-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): brief sense of puff lips and tongue but went away in about 5 to 10 minutes
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): on the 2nd, 3rd, and 4th days following the shot, i had pain, neck soreness, headache, chills, and fatigue that felt moderate. i slept about 12 hrs on two nights when I normally sleep 6 hours.
Release 9 — 6 months, dose 2
Symptoms: EKG with abnormal results
Healthcare visit (other): visit with cardiologist and have another EKG with abnormal result
Release 11 — day 14, dose 4
Symptoms: chills, body aches, fatigue, neck and head aches.
Release 11 — day 35, dose 4
Symptoms: Broke out with an itchy rash on my face and neck.
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 | Electrocardiogram abnormal | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Electrocardiogram abnormal | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release