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4MZ-89505-27722

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
750 / TX
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Moderna
  3. 2021-01-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-02-10
    Survey response — day 14, dose 1
    MedDRA: Injection site reaction, Rash — Feeling: Fair
    Free text: Rash at site of vaccine on my arm, painful and about 1.5 inches in diameter
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-24
    Dose 2 — Moderna
  11. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  12. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  13. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Headache, Musculoskeletal pain, Ocular discomfort, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Severe headache lasting since the day after the vaccine, increase in retinal eye pressure from 20 to 27, musculoskeletal pain. · Healthcare visit (other): Waiting on actual physical visit to doctor and referrals to specialists
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-12
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-03-24
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache since after vaccine on 2/24, it has not stopped or gone away. It is pretty bad. I have severe joint pain also since then.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Axillary mass — Feeling: Fair
    Free text: Large lump under armpit, was there about 1 week
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: Supraventricular tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: SVT
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-02-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  19. 2022-02-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-24Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Rash at site of vaccine on my arm, painful and about 1.5 inches in diameter

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Severe headache lasting since the day after the vaccine, increase in retinal eye pressure from 20 to 27, musculoskeletal pain.
Healthcare visit (other): Waiting on actual physical visit to doctor and referrals to specialists

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Headache since after vaccine on 2/24, it has not stopped or gone away. It is pretty bad. I have severe joint pain also since then.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Large lump under armpit, was there about 1 week

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: SVT

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
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAxillary mass ✓ · ✓
SDHeadache ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDMusculoskeletal pain ✓ ✓ ✓
SDOcular discomfort ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSupraventricular tachycardia · · ✓

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