5FX-10770-62097
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 790 / TX
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-01
Registered in v-safe
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
-
2021-01-14
Survey response — day 14, dose 1MedDRA: Erythema, Feeling hot, Pain, Pyrexia — Feeling: FairFree text: My arm turned red, the size of a baseball, where I got the injection. This happened 9 days after I received it. It still is red but doesnt feel warm as it did. At 6 - 7 days I felt achey and feverish. Just that day, but now at day 14 the sameMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — day 21, dose 1MedDRA: Cellulitis, Chills, Emergency care, Headache, Injection site erythema, Injection site warmth, Malaise, Pyrexia — Feeling: FairFree text: Went to ER on 1/15 - fever/chills and arm, where vaccine was given had large red, warm area. Diagnosis was Cellulitis from vaccine and was given 10 day round of antibiotics. Have since had headaches and not feeling 100%.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: I had a rash in my mid-area on day 3, that and the redness went away after that day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-04-30
Survey response — 3 months, dose 2MedDRA: Cough, Discharge, Oropharyngeal pain, Pyrexia, Specialist consultation — Feeling: Fair · Be unable to work, 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: Sore throat, fever, drainage, cough · Healthcare visit (other): Primary DrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-01
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2022-01-29
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Body temperature increased, Chills, Pharyngeal swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A bit feverish but not above 98.8. Throat feels a bit swollen. Chills and upset stomach one evening this week. Better today.MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: My arm turned red, the size of a baseball, where I got the injection. This happened 9 days after I received it. It still is red but doesnt feel warm as it did. At 6 - 7 days I felt achey and feverish. Just that day, but now at day 14 the same
Release 2 — day 21, dose 1
Symptoms: Went to ER on 1/15 - fever/chills and arm, where vaccine was given had large red, warm area. Diagnosis was Cellulitis from vaccine and was given 10 day round of antibiotics. Have since had headaches and not feeling 100%.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had a rash in my mid-area on day 3, that and the redness went away after that day.
Release 8 — 3 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: A bit feverish but not above 98.8. Throat feels a bit swollen. Chills and upset stomach one evening this week. Better today.
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Discharge | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release