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
-
2020-12-31
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
-
2021-02-05
Survey response — day 35, dose 1MedDRA: Medical counselling, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professionalFree 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 doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Survey response — day 0, dose 2MedDRA: 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 professionalFree 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 0, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
- 2021-02-14
- 2021-02-21
- 2021-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 35, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release