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83R-10353-96972

3 vaccinations 4 coded responses 17 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
787 / TX
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-03-05
    Dose 2 — Moderna
  3. 2021-03-07
    Registered in v-safe
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermal filler reaction — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Swelling face at places of Dermal filler
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Swelling face — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swelling of dermal fillers (face)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-08
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermal filler reaction — Feeling: Poor · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Dermal fillers swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-16
  11. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Hypoaesthesia — Feeling: Good
    Free text: numbing limbs
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-12-06
    Dose 3 — Moderna
  13. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  14. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  15. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  16. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-12-13
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-12-22
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  20. 2022-01-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-12-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna
32021-12-06Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Swelling face at places of Dermal filler

2021-03-08

Systemic reaction (other): Swelling of dermal fillers (face)

2021-03-09

Systemic reaction (other): Dermal fillers swelling

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: numbing limbs

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
SDHypoaesthesia ✓ · ✓
SRODermal filler reaction ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

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