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
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-01
- 2021-02-03
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2021-02-10
Survey response — day 14, dose 1MedDRA: Injection site reaction, Rash — Feeling: FairFree text: Rash at site of vaccine on my arm, painful and about 1.5 inches in diameterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-12
Survey response — day 14, dose 2MedDRA: 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 visitFree 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 specialistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-24
Survey response — day 28, dose 2MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Axillary mass — Feeling: FairFree text: Large lump under armpit, was there about 1 weekMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-24
Survey response — 12 months, dose 2MedDRA: 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, HospitalizationFree text: SVTMedDRA releases: 2024-11 · check-in free text available
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2022-02-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Rash at site of vaccine on my arm, painful and about 1.5 inches in diameter
Release 5 — day 14, dose 2
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
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
Symptoms: Large lump under armpit, was there about 1 week
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Ocular discomfort | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release