4QN-28893-32565
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-09
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have not run a fever, but I've had terrible lower back pain. For me, this is usually a sign of a high fever. I started taking OTC meds for the pain, so it's likely that kept temperature down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body achesAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling, Injection site warmth, Medical counselling, Pain, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): The redness and swelling around the injection site has grown. It now reaches down to my elbow. I have occasional shooting pains down my arm to my hand, and occasional tingling in my hand. The red area is warm to touch. The veins in my arm feel sore, like I've just had blood drawn or had an IV. · Healthcare visit (other): I left a message for my doctor and heard back from the nurse. She wasn't sure what to to tell me. Still waiting for a call from doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-15
-
2021-04-16
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-30
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have not run a fever, but I've had terrible lower back pain. For me, this is usually a sign of a high fever. I started taking OTC meds for the pain, so it's likely that kept temperature down.
Systemic reaction (other): The redness and swelling around the injection site has grown. It now reaches down to my elbow. I have occasional shooting pains down my arm to my hand, and occasional tingling in my hand. The red area is warm to touch. The veins in my arm feel sore, like I've just had blood drawn or had an IV.
Healthcare visit (other): I left a message for my doctor and heard back from the nurse. She wasn't sure what to to tell me. Still waiting for a call from doctor.
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 | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release