584-33638-68231
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
-
2021-02-03
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: FairFree text: Vaccine site turned red. About the size of a quarter. It itched a bit and then went away after about 3 days. This occurred 2 weeks after the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Felt cold and couldnt get warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, VomitingFree text: Had 100 degree fever last night (about 30 hrs after vaccination)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
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2021-08-11
Survey response — 6 months, dose 2MedDRA: Pleural effusion, Pulmonary embolism, Radiotherapy, Thrombosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Pulmonary embolism and pleural effusion most likely due to radiation to my mediastinum but the clot could be a late reaction of the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-08-19
Dose 3 — Moderna
- 2021-11-20
-
2022-02-17
Survey response — 6 months, dose 3MedDRA: Dehydration, Fatigue, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, 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: Following chemotherapy treatment, I became dehydrated and fatiguedMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
- 2022-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-08-19 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — day 21, dose 1
Symptoms: Vaccine site turned red. About the size of a quarter. It itched a bit and then went away after about 3 days. This occurred 2 weeks after the vaccination.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Felt cold and couldnt get warm
Systemic reaction (other): Had 100 degree fever last night (about 30 hrs after vaccination)
Release 9 — 6 months, dose 2
Symptoms: Pulmonary embolism and pleural effusion most likely due to radiation to my mediastinum but the clot could be a late reaction of the vaccine.
Release 11 — 6 months, dose 3
Symptoms: Following chemotherapy treatment, I became dehydrated and fatigued
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 |
|---|---|---|---|---|
| SD | Dehydration | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pleural effusion | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary embolism | ✓ | · | ✓ |
| SD | Radiotherapy | ✓ | · | ✓ |
| SD | Thrombosis | ✓ | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release