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6KA-22438-80848

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 5 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
982 / WA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  4. 2021-03-13
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-01
    Dose 2 — Moderna
  8. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  10. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  11. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-15
    Survey response — day 14, dose 2
    MedDRA: Injection site erythema, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: My face swelled up (no known cause). I have a port wine birthmark that steeled and developed bright red raised- bumps. Dr proscribed prednisone. This occurred after shot number 1 as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-15
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Survey response — day 28, dose 2
    MedDRA: Pre-existing disease, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Swollen face- portend birthmark
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-29
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-05-06
    Survey response — day 35, dose 2
    MedDRA: Angiopathy, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Vascular abnormalities increased on face. Connected with vascular birthmark. · Healthcare visit (other): Biopsy, prednisone, and future scans scans
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-06
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-13
    Survey response — day 42, dose 2
    MedDRA: Hypersensitivity, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosed with hyper sensitivity reaction/eruption to foreign- most likely moderna vaccine.Why has no one contacted me? You heed to be communicating abs building trust so minimize vaccine hesitancy. · Healthcare visit (other): Biopsies, 60 mg prednisone, follow up care with include brain MRI with contrast and glaucoma testing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-13
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-12-10

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-15

Symptoms: My face swelled up (no known cause). I have a port wine birthmark that steeled and developed bright red raised- bumps. Dr proscribed prednisone. This occurred after shot number 1 as well.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Swollen face- portend birthmark

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Vascular abnormalities increased on face. Connected with vascular birthmark.
Healthcare visit (other): Biopsy, prednisone, and future scans scans

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Diagnosed with hyper sensitivity reaction/eruption to foreign- most likely moderna vaccine.Why has no one contacted me? You heed to be communicating abs building trust so minimize vaccine hesitancy.
Healthcare visit (other): Biopsies, 60 mg prednisone, follow up care with include brain MRI with contrast and glaucoma testing.

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAngiopathy ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓

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