4KD-22098-26997
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Aphthous ulcer, Cheilitis, Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Medical counselling, Pre-existing disease, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: 1/25/2021 woke with injection site soreness, red,hot, hard area size of a pear 1/26-1/28 bigger red area and noticed an irritation canker like sore under right upper lip, not herpes 1/31 sore under lip gone Arm still has a leached red area itchy · Healthcare visit (other): Phone call w PCP-sent photos. Concern for infection w two replaced kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-26
Dose 2 — Moderna
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Somnolence — Feeling: Good · Site: Pain, ItchingFree text: The day after I had my second dose I had a minor headache and minor grogginessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, ItchingFree text: Area of injection hot to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Itching · HeadacheFree text: Since 2nd vaccine I have had discomfort under my left armpit towards the front.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: Good · Site: Pain, Itching · HeadacheFree text: Left armpit discomfort diminishingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-07
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-27
- 2021-05-28
- 2021-06-02
- 2021-08-27
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: 1/25/2021 woke with injection site soreness, red,hot, hard area size of a pear 1/26-1/28 bigger red area and noticed an irritation canker like sore under right upper lip, not herpes 1/31 sore under lip gone Arm still has a leached red area itchy
Healthcare visit (other): Phone call w PCP-sent photos. Concern for infection w two replaced knees
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The day after I had my second dose I had a minor headache and minor grogginess
Systemic reaction (other): Area of injection hot to touch
Systemic reaction (other): Since 2nd vaccine I have had discomfort under my left armpit towards the front.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Left armpit discomfort diminishing
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | · | ✓ |
| SD | Aphthous ulcer | ✓ | ✓ | ✓ |
| SD | Cheilitis | ✓ | · | ✓ |
| SD | Erythema | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release