ECZ-74342-46141
4 vaccinations
9 coded responses
23 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 020 / MA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
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2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site rash, Rash pruritic — Feeling: GoodFree text: Very itchy, large rash at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 21, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Second injection site rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Frequent urinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-18
Dose 3 — Moderna
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2022-03-05
Survey response — 12 months, dose 2MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Gave birthMedDRA releases: 2024-11 · check-in free text available
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2022-03-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-03-09
- 2022-05-19
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2022-05-20
Dose 4 — Moderna
- 2022-06-26
- 2022-07-01
- 2022-08-19
- 2022-11-18
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2023-05-20
Survey response — 12 months, dose 4MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-05-20
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-05-23
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Very itchy, large rash at injection site
Release 4 — day 21, dose 1
Symptoms: Second injection site rash
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Frequent urination
Systemic reaction (other): Severe Dizziness
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — 12 months, dose 2
Symptoms: Gave birth
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 | Delivery | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release