SD6-22172-65321
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 752 / TX
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
- 2020-12-24
-
2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Dazed, out of itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Abdominal rigidity — Feeling: Good · Site: Pain, RednessFree text: Abdominal discomfort - light spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-27
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2020-12-31
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Breast pain, Injection site rash, Oedema peripheral, Rash — Feeling: FairFree text: Rash around injection site and one decent sized rash on inner upper left arm. Left armpit swollen. Left side left breast pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
-
2021-01-22
Dose 2 — Moderna
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-01
- 2021-02-05
- 2021-02-14
- 2021-02-19
- 2021-02-28
- 2021-03-05
- 2021-04-23
- 2021-07-23
-
2022-01-22
Survey response — 12 months, dose 2MedDRA: Menstruation irregular, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Period is irregular · Healthcare visit (other): Visit my GynecologistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dazed, out of it
Systemic reaction (other): Abdominal discomfort - light spasms
Systemic reaction (other): Sore throat
Release 1 — day 14, dose 1
Symptoms: Rash around injection site and one decent sized rash on inner upper left arm. Left armpit swollen. Left side left breast pain.
Release 11 — 12 months, dose 2
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 | Office visit | · | · | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ○ | ○ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal rigidity | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release