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
-
2021-02-05
Dose 1 — Moderna
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2021-03-05
Dose 2 — Moderna
-
2021-03-07
Registered in v-safe
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Swelling face at places of Dermal fillerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Swelling face — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling of dermal fillers (face)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: 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 visitFree text: Dermal fillers swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Hypoaesthesia — Feeling: GoodFree text: numbing limbsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-06
Dose 3 — Moderna
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2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-13
Health check-in — day 7, dose 3Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-22
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-06-06
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling face at places of Dermal filler
Systemic reaction (other): Swelling of dermal fillers (face)
Systemic reaction (other): Dermal fillers swelling
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SRO | Dermal filler reaction | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release