H7V-34511-51923
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 232 / VA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Registered dependents
RPR-22239-24286
Child or adolescent in my care · Male · 2022-10-07
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-15
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site rash, Nodule, Rash erythematous — Feeling: GoodFree text: I developed a vaccine knot and then a fairly big red rash on my arm at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-06-08
- 2021-09-07
-
2021-11-21
Dose 3 — Moderna
- 2022-03-09
- 2022-05-22
-
2022-11-21
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Aphthous ulcer, Diarrhoea, Oropharyngeal pain, Secretion discharge, Sinusitis, Swollen tongue, Tongue ulceration — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection with lots of mucus, loss of taste and smell, swollen tongue with sores and canker sores in mouth, extremely sore throat, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 1
Symptoms: I developed a vaccine knot and then a fairly big red rash on my arm at the injection site
Release 12 — 12 months, dose 3
Symptoms: Sinus infection with lots of mucus, loss of taste and smell, swollen tongue with sores and canker sores in mouth, extremely sore throat, diarrhea
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Aphthous ulcer | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Swollen tongue | · | · | ✓ |
| SD | Tongue ulceration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release