68K-25677-63927
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 773 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
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2021-01-30
Registered in v-safe
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2021-01-30
Dose 2 — Moderna
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2021-01-30
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Colitis, Pre-existing disease — Feeling: Good · DiarrheaFree text: I have colitis so those symptoms likely related to that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-13
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2021-02-20
Survey response — day 21, dose 2MedDRA: Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dry severely itchy rash started on my right hand (vaccination was in my right arm) ... subsequently spread to my left hand, chin/neck, and now left foot and toes. Prescribed a steroid cream that offers temporary relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-02
Survey response — day 28, dose 2MedDRA: Dysphonia — Feeling: FairFree text: Hoarseness - could be from our (b)(6) weather.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 35, dose 2MedDRA: Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Itchy rash on hands, foot and chin has reoccurred.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-13
Survey response — day 42, dose 2MedDRA: Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dry itchy rash on hands has reoccurrred.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-31
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I have colitis so those symptoms likely related to that.
Release 4 — day 21, dose 2
Symptoms: Dry severely itchy rash started on my right hand (vaccination was in my right arm) ... subsequently spread to my left hand, chin/neck, and now left foot and toes. Prescribed a steroid cream that offers temporary relief.
Release 4 — day 28, dose 2
Release 5 — day 35, dose 2
Symptoms: Itchy rash on hands, foot and chin has reoccurred.
Release 5 — day 42, dose 2
Symptoms: Dry itchy rash on hands has reoccurrred.
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 | Dysphonia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Colitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release