RMF-10581-56069
2 vaccinations
10 coded responses
21 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 751 / TX
- Registered
- 2021-09-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-17
Registered in v-safe
-
2021-09-17
Dose 1 — Moderna
- 2021-09-17
-
2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Hypogeusia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Very diminished tasteMedDRA releases: 2024-11 · check-in free text available
-
2021-09-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-09-20
- 2021-09-22
-
2021-09-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-09-24
-
2021-10-03
Survey response — day 14, dose 1MedDRA: Abdominal pain — Feeling: FairFree text: Pain in my abdomenMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — day 21, dose 1MedDRA: Adnexa uteri pain — Feeling: FairFree text: Pain in my ovariesMedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
-
2021-10-22
Survey response — day 35, dose 1MedDRA: Abdominal pain, Chest pain, Emergency care, Unevaluable event — 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 · Emergency room or emergency department visitFree text: Symptoms: Abdominal pain and chest pain. Went to the ED · Healthcare visit (other): CT scanMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Report sent to call center — day 35, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2021-10-25
Dose 2 — Moderna
- 2021-10-25
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Swollen lymph nodes in my neck and under my clavicle on both sidesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in my neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Lymph nodes swollenMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Hyperhidrosis, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes and chills, sweating, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-12-01
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: Positive for covidMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 3 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-17 | Moderna | No |
| 2 | 2021-10-25 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Very diminished taste
Systemic reaction (other): Dizziness
Release 9 — day 14, dose 1
Symptoms: Pain in my abdomen
Release 10 — day 21, dose 1
Symptoms: Pain in my ovaries
Release 10 — day 35, dose 1
Symptoms: Abdominal pain and chest pain. Went to the ED
Healthcare visit (other): CT scan
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in my neck and under my clavicle on both sides
Systemic reaction (other): Swollen lymph nodes in my neck
Release 10 — day 7, dose 2
Systemic reaction (other): Lymph nodes swollen
Release 10 — day 14, dose 2
Symptoms: Swollen lymph nodes and chills, sweating, fatigue
Release 11 — 3 months, dose 2
Symptoms: Positive for covid
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Adnexa uteri pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hypogeusia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release