BE5-23653-55439
3 vaccinations
8 coded responses
37 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 177 / PA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TB9-33144-38880
Child or adolescent in my care · Female · 2022-06-26
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: Head cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Asthma prophylaxis, Injection site rash, Pre-existing disease — Feeling: GoodFree text: Rash around injection site 8 days post vaccination. Lasted 2 days. My asthma was exacerbated from the time of vaccination until after the rash disappeared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Good · Site: PainFree text: Asthma flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: GoodFree text: Asthma flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: GoodFree text: General itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Haemangioma of skin — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cherry angiomasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain · HeadacheFree text: Swollen hands & feetMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
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2021-11-24
Survey response — day 14, dose 3MedDRA: Asthma, Pre-existing disease, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Full body itching, asthma exacerbationMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-01-13
- 2022-02-09
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Head cold symptoms
Release 4 — day 14, dose 1
Symptoms: Rash around injection site 8 days post vaccination. Lasted 2 days. My asthma was exacerbated from the time of vaccination until after the rash disappeared.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Asthma flare up
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Asthma flare up
Release 5 — day 7, dose 2
Systemic reaction (other): General itchiness
Release 8 — 3 months, dose 2
Symptoms: Cherry angiomas
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen hands & feet
Release 10 — day 14, dose 3
Symptoms: Full body itching, asthma exacerbation
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 | Asthma | · | · | ✓ |
| SD | Asthma prophylaxis | ✓ | ✓ | ✓ |
| SD | Haemangioma of skin | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release