6X9-42578-80642
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 113 / NY
- Registered
- 2021-01-13
- Relationship
- Self
Timeline
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Feeling hot — Feeling: Poor · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to workFree text: Face feels extremely hot but don't have feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Rash, Urticaria — Feeling: Poor · Site: Redness, Swelling · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Rash on my chest, hives, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling, Urticaria — Feeling: Fair · Site: Redness, Swelling · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to workFree text: Hives on neck and upper chest, swollen ankles. Please check - I read that similar reaction were reported in people who had a history of dermal fillersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-18
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2021-01-22
Survey response — day 7, dose 1MedDRA: Lip swelling — Feeling: Fair · Site: Swelling · Fever · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swelling of lips - seems like an allergic reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still concerned about the mild allergic reaction I had. My doctor is worried whether I should take the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Fever · Muscle or body achesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-14
- 2021-02-16
- 2021-03-31
- 2021-04-08
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2021-04-09
Callback requested for4:00P EST
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
5 call center cases
5 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Face feels extremely hot but don't have fever
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Rash on my chest, hives, tightness in chest
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Hives on neck and upper chest, swollen ankles. Please check - I read that similar reaction were reported in people who had a history of dermal fillers
Release 2 — day 7, dose 1
Systemic reaction (other): Swelling of lips - seems like an allergic reaction
Release 2 — day 14, dose 1
Symptoms: Still concerned about the mild allergic reaction I had. My doctor is worried whether I should take the second dose.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release