K7H-28212-71233
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: GoodFree text: Was mildly flushed about an hour after vaccine but it went away in about an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-13
- 2021-02-21
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Itching on my handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-27
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Cough, Diarrhoea, Headache, Pain, Paranasal sinus discomfort, Pyrexia, Rash, Respiratory tract congestion, SARS-CoV-2 test positive — 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 · Outpatient clinic or urgent care clinic visitFree text: Sinus pressure, headache, fever, loss of taste/smell, diarrhea, head congestion, aches, rash, chest congestion, cough, etc. Positive Covid test.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-31
- 2021-09-01
-
2021-09-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Was mildly flushed about an hour after vaccine but it went away in about an hour
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Itching on my hands
Release 9 — 6 months, dose 2
Symptoms: Sinus pressure, headache, fever, loss of taste/smell, diarrhea, head congestion, aches, rash, chest congestion, cough, etc. Positive Covid test.
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 | Cough | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release