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5ZQ-26929-57404

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
750 / TX
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Diarrhoea haemorrhagic, Erythema, Haematochezia, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Limb mass, Pain, Pain in extremity, Rash, Skin discolouration, Swelling — Feeling: Poor
    Free text: CONCERNED. Dime size purplish lump appeared on lower arm. Clot?Day 8 redness at shot site, rash, swelling, soreness, diarreha with blood. Day 12 to present rash fading, swelling reduced, soreness continues in arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Contusion, Injection site haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Red blood accumulation around shot site. Clot or bruise type appearance on vaccine arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-07
    Dose 2 — Moderna
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  9. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Peripheral swelling, Rash, Unevaluable event — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Largish, red, hot, lump appeared on arm above elbow. Swelling, rash and heat on upper arm.alsorm · Healthcare visit (other): Ultrasound scheduled for tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-13
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  13. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-09
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tired, bouts of nausea with occasional vomiting
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-06

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: CONCERNED. Dime size purplish lump appeared on lower arm. Clot?Day 8 redness at shot site, rash, swelling, soreness, diarreha with blood. Day 12 to present rash fading, swelling reduced, soreness continues in arm.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Red blood accumulation around shot site. Clot or bruise type appearance on vaccine arm.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Largish, red, hot, lump appeared on arm above elbow. Swelling, rash and heat on upper arm.alsorm
Healthcare visit (other): Ultrasound scheduled for tomorrow

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Tired, bouts of nausea with occasional vomiting

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDDiarrhoea ○ ✓ ○
SDDiarrhoea haemorrhagic ✓ · ✓
SDErythema ○ ✓ ○
SDFatigue · · ✓
SDHaematochezia ○ ✓ ○
SDInjection site erythema ✓ · ✓
SDInjection site haemorrhage ✓ ✓ ✓
SDInjection site pain ✓ · ✓
SDInjection site rash ✓ · ✓
SDInjection site swelling ✓ · ✓
SDLimb mass ✓ · ✓
SDNausea · · ✓
SDPain ○ ✓ ○
SDPain in extremity ✓ · ✓
SDRash ○ ✓ ○
SDSkin discolouration ✓ · ✓
SDSwelling ○ ✓ ○
SDVomiting · · ✓
SROFeeling hot ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release