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6XA-16975-14883

1 vaccination 4 coded responses 12 check-ins 4 free-text entries 1 call case
Sex
—
Age at first dose
41-45
ZIP prefix
808 / CO
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Registered in v-safe
  2. 2021-03-13
    Dose 1 — Moderna
  3. 2021-03-13
    Survey response — day 0, dose 1
    MedDRA: Feeling abnormal — Feeling: Good · Site: Pain
    Free text: Felt spacey for a couple of hours, beginning 3 hours after vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Enlarged uvula, Pre-existing disease — Feeling: Good · Site: Pain
    Free text: Yesterday afternoon I had mild to moderate swelling of the uvula, which also happened four years ago when I had an allergic reaction to clindamycin. I'm concerned that maybe I shouldn't get the second shot in case the swelling is worse next time and obstructs my breathing. ??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pain, Pain in extremity, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Yesterday, woke up with pain in right thigh, from top of knee to mid-thigh. By last night it hurt to walk on it and the pain extended to my upper thigh. I was concerned about a clot. Did a virtual urgent care visit and doc thought it was a simple phlebitis rather than DVT. Have been taking ibuprofen and applying warm heat. Today it doesn't hurt to walk but is still painful when touched.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-17
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Mild pain in right thigh, less than yesterday & day before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-17
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-12-16
  16. 2021-12-21
  17. 2022-03-13
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Felt spacey for a couple of hours, beginning 3 hours after vaccination.

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Yesterday afternoon I had mild to moderate swelling of the uvula, which also happened four years ago when I had an allergic reaction to clindamycin. I'm concerned that maybe I shouldn't get the second shot in case the swelling is worse next time and obstructs my breathing. ??

2021-03-17

Systemic reaction (other): Yesterday, woke up with pain in right thigh, from top of knee to mid-thigh. By last night it hurt to walk on it and the pain extended to my upper thigh. I was concerned about a clot. Did a virtual urgent care visit and doc thought it was a simple phlebitis rather than DVT. Have been taking ibuprofen and applying warm heat. Today it doesn't hurt to walk but is still painful when touched.

2021-03-18

Systemic reaction (other): Mild pain in right thigh, less than yesterday & day before.

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
SROArthralgia ✓ ✓ ✓
SROEnlarged uvula ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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