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52A-29570-78471

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
774 / TX
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Lymphadenopathy, Pain in extremity, Rash, Self-medication, Urticaria — Feeling: Good
    Free text: soreness in affected arm for about 24 hrs after the shot, Lymph node in affected armpit enlarged for about 3 days, 1 wk post: 1 hive on affected arm, 2 weeks post: rash over upper torso for 36-48 hrs. I took Benadryl and used hydrocortisone cream.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Continuing rash that got better in my upper torso area, but spread to my legs and lower abdomen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-27
    Dose 2 — Moderna
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  12. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Watery diarrhea. However I have no idea if it is related to the vaccine. It started about 10 days ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-30
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Diarrhea, sinus issues
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-07-30
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-12
  22. 2022-01-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-27Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-16

Symptoms: soreness in affected arm for about 24 hrs after the shot, Lymph node in affected armpit enlarged for about 3 days, 1 wk post: 1 hive on affected arm, 2 weeks post: rash over upper torso for 36-48 hrs. I took Benadryl and used hydrocortisone cream. cut off by CDC

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Continuing rash that got better in my upper torso area, but spread to my legs and lower abdomen.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Dizziness

2021-01-30

Systemic reaction (other): Dizziness

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Watery diarrhea. However I have no idea if it is related to the vaccine. It started about 10 days ago.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Diarrhea, sinus issues

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
SDDiarrhoea ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinus disorder ✓ · ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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

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