5T4-29387-40273
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 800 / CO
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling, Lymphadenopathy, Office visit, Peripheral swelling, Swelling face — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe swelling in bilateral wrist and hands along with swelling og lymph nodes in neck and puffiness on face · Healthcare visit (other): Physician at workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Peripheral swelling — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Still have swelling in bilateral hands that causes pain and tightness when usingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Bedridden, Mobility decreased, Peripheral swelling — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Swelling in my hands have gone down, but i am bedridden today due to my symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Loss of personal independence in daily activities — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: I am unable to perform activities of daily living at this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Overall fatigue unable to be up and around for more than 10 minutes at a timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-05-18
- 2021-07-21
- 2022-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Severe swelling in bilateral wrist and hands along with swelling og lymph nodes in neck and puffiness on face
Healthcare visit (other): Physician at work
Systemic reaction (other): Still have swelling in bilateral hands that causes pain and tightness when using
Systemic reaction (other): Swelling in my hands have gone down, but i am bedridden today due to my symptoms
Systemic reaction (other): I am unable to perform activities of daily living at this time.
Systemic reaction (other): Overall fatigue unable to be up and around for more than 10 minutes at a time
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 | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | · | ✓ |
| SRO | Bedridden | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release