MFM-22233-88372
4 vaccinations
2 coded responses
41 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 864 / AZ
- Registered
- 2021-08-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-14
Registered in v-safe
-
2021-08-14
Dose 1 — Moderna
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-17
- 2021-08-18
- 2021-08-19
- 2021-08-20
- 2021-08-21
- 2021-08-28
- 2021-09-04
-
2021-09-11
Dose 2 — Moderna
- 2021-09-11
-
2021-09-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-16
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-12-11
- 2022-03-12
-
2022-03-24
Dose 3 — Moderna
- 2022-05-01
- 2022-05-05
- 2022-06-23
- 2022-09-24
-
2022-10-31
Dose 4 — ModernaCo-administered: Flu
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-04
-
2022-11-05
Survey response — days 1–6 daily, dose 4MedDRA: Eye swelling, Swelling — Feeling: Fair · Fatigue or tirednessFree text: Facial swelling in eyes, left side of neckMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Health check-in — day 7, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-14
Survey response — day 14, dose 4MedDRA: Abdominal pain, Lymphadenopathy, Mononucleosis heterophile test positive, Office visit, Pain in jaw, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling / pain in jaw. Pain in abdomen. Swollen lymph node in neck. Thursday I went to primary care. Friday I went to urgent care and tested positive for mono.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2023-01-30
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-14 | Moderna | No |
| 2 | 2021-09-11 | Moderna | No |
| 3 | 2022-03-24 | Moderna | No |
| 4 | 2022-10-31 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Facial swelling in eyes, left side of neck
Release 12 — day 14, dose 4
Symptoms: Swelling / pain in jaw. Pain in abdomen. Swollen lymph node in neck. Thursday I went to primary care. Friday I went to urgent care and tested positive for mono.
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 | Abdominal pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mononucleosis heterophile test positive | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release