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6PC-15587-85747

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
750 / TX
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-05
    Survey response — day 35, dose 1
    MedDRA: Medical counselling, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I developed 2-4 inches of hives under my arms bilaterally 16 hrs after my first dose, which resolved spontaneously after several days. For this reason, the pharmacist refuses to administer my second dose. · Healthcare visit (other): Pharmacy visit for second dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-12
    Dose 2 — Moderna
  7. 2021-02-12
    Survey response — day 0, dose 2
    MedDRA: Blood pressure increased, Chest discomfort, Emergency care, Feeling jittery, Heart rate increased, Immediate post-injection reaction, Pruritus, Self-medication, Throat irritation, Throat tightness — Feeling: Poor · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): 10 min after dose: itchy face and throat, tight throat and chest, systolic bp up 50 points, increased HR, feeling jittery. Almost fully resolved after 4 hrs w po Benadryl. · Healthcare visit (other): EMS, transfer to ED declined because I am a healthcare provider and didnt want to pay for the visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-12
    Report sent to call center — day 0, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-06-30

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-02-12Moderna

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 3 — day 35, dose 1

2021-02-05

Symptoms: I developed 2-4 inches of hives under my arms bilaterally 16 hrs after my first dose, which resolved spontaneously after several days. For this reason, the pharmacist refuses to administer my second dose.
Healthcare visit (other): Pharmacy visit for second dose

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): 10 min after dose: itchy face and throat, tight throat and chest, systolic bp up 50 points, increased HR, feeling jittery. Almost fully resolved after 4 hrs w po Benadryl.
Healthcare visit (other): EMS, transfer to ED declined because I am a healthcare provider and didnt want to pay for the visit

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
HCVOEmergency care ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROFeeling jittery ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

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