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
-
2021-03-04
Dose 1 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Health check-in — day 7, dose 1Feeling: 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 visitAdult check-in
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2021-03-13
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Injection site erythema, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
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2021-04-15
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-22
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2021-04-29
Survey response — day 28, dose 2MedDRA: Pre-existing disease, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen face- portend birthmarkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-06
Survey response — day 35, dose 2MedDRA: Angiopathy, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Vascular abnormalities increased on face. Connected with vascular birthmark. · Healthcare visit (other): Biopsy, prednisone, and future scans scansMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-13
Survey response — day 42, dose 2MedDRA: Hypersensitivity, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree 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
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2021-05-13
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
5 call center cases
5 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 2
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
Symptoms: Swollen face- portend birthmark
Release 8 — day 35, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Angiopathy | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release