5KJ-17946-45335
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Registered in v-safe
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2021-02-26
Dose 1 — Moderna
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2021-02-26
Survey response — day 0, dose 1MedDRA: Lip erythema, Paraesthesia oral — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: My lips felt tingly and I got a red line around part of my upper lip, but not for long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Feeling hot, Paraesthesia, Paraesthesia oral, Self-medication — Feeling: Fair · Site: Pain · Headache, 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 activitiesFree text: My face got really red and tingly for like 30 minutes after the shot. I had taken a Benadryl 30 minutes before the shot. Glad I did. It went away by the time I got home. Lips tingly too and my face felt hot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
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2021-03-29
Dose 2 — Moderna
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Survey response — day 7, dose 2MedDRA: Hepatic pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Liver painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 14, dose 2MedDRA: Biliary colic, Gallbladder disorder, Hepatic pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Gallbladder and liver issues pain, gallbladder symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-19
Survey response — day 21, dose 2MedDRA: Biliary colic, Gallbladder disorder, Hepatic pain, Hepatomegaly — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gallbladder issues and liver swollen. Both hurt. Got ultrasound. Waiting on results tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 28, dose 2MedDRA: Cholelithiasis, Gallbladder disorder, Renal cancer, Renal neoplasm, Ultrasound abdomen abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ive been having gallbladder symptoms. Ive even passed gallbladder stones in the toilet. They did an ultrasound to look at my gallbladder. They ended up finding kidney cancer. / a tumor on my rt kidney. Its new, because it was not on my lastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 35, dose 2MedDRA: Gallbladder disorder, Renal cell carcinoma — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have gallbladder issues and renal cell carcinoma now. They said its a very new tumor based on past scans.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-06-28
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): My lips felt tingly and I got a red line around part of my upper lip, but not for long.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My face got really red and tingly for like 30 minutes after the shot. I had taken a Benadryl 30 minutes before the shot. Glad I did. It went away by the time I got home. Lips tingly too and my face felt hot.
Release 7 — day 7, dose 2
Systemic reaction (other): Liver pain
Release 7 — day 14, dose 2
Symptoms: Gallbladder and liver issues pain, gallbladder symptoms
Release 7 — day 21, dose 2
Symptoms: Gallbladder issues and liver swollen. Both hurt. Got ultrasound. Waiting on results tomorrow
Release 8 — day 28, dose 2
Symptoms: Ive been having gallbladder symptoms. Ive even passed gallbladder stones in the toilet. They did an ultrasound to look at my gallbladder. They ended up finding kidney cancer. / a tumor on my rt kidney. Its new, because it was not on my last
Release 8 — day 35, dose 2
Symptoms: I have gallbladder issues and renal cell carcinoma now. They said its a very new tumor based on past scans.
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 | Biliary colic | ✓ | ✓ | ✓ |
| SD | Cholelithiasis | ✓ | ✓ | ✓ |
| SD | Gallbladder disorder | ✓ | ✓ | ✓ |
| SD | Hepatic pain | ✓ | ✓ | ✓ |
| SD | Hepatomegaly | ✓ | ✓ | ✓ |
| SD | Renal cancer | ✓ | ✓ | ✓ |
| SD | Renal cell carcinoma | ✓ | ✓ | ✓ |
| SD | Renal neoplasm | ✓ | ✓ | ✓ |
| SD | Ultrasound abdomen abnormal | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Lip erythema | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release