5L3-83050-04371
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Took an allergy shot on 2-1-21 and had a terrible reaction to it even tho had Covid vaccine a week before. Never had this kind of reaction to my allergy shot in over 2 years. · Healthcare visit (other): Allergist, dermatologist, primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-15
Survey response — day 21, dose 1MedDRA: Erythema, Hypersensitivity, Pruritus, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had an allergy shot 1 week after my first covid vaccine and had a severe reaction. Rash, redness, and itching all on left side, same side as my vaccine. I have never ever had a reaction to any of my allergy shots. Doctors determined there was somethiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
-
2021-02-26
Dose 2 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Arthralgia, Joint swelling — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Swollen knee plus so much pain I can't put weight on itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 35, dose 2MedDRA: Arthralgia, Back pain — Feeling: Poor · 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: Severe low back pain which required X-rays but right knee pain is now gone. Low back pain is on right also. Last covid vaccine over 1month ago but I think it is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 35, 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)
- 2021-06-09
- 2021-06-09
- 2021-06-09
- 2021-08-27
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
2 waits over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Took an allergy shot on 2-1-21 and had a terrible reaction to it even tho had Covid vaccine a week before. Never had this kind of reaction to my allergy shot in over 2 years.
Healthcare visit (other): Allergist, dermatologist, primary care physician
Release 4 — day 21, dose 1
Symptoms: Had an allergy shot 1 week after my first covid vaccine and had a severe reaction. Rash, redness, and itching all on left side, same side as my vaccine. I have never ever had a reaction to any of my allergy shots. Doctors determined there was somethi cut off by CDC
Release 6 — day 28, dose 2
Symptoms: Swollen knee plus so much pain I can't put weight on it
Release 6 — day 35, dose 2
Symptoms: Severe low back pain which required X-rays but right knee pain is now gone. Low back pain is on right also. Last covid vaccine over 1month ago but I think it is related to the vaccine.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release