STK-87756-25692
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 761 / TX
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
- 2020-12-27
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Itching of arms/chest area. No rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessFree text: Lots of itching on chest and armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
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2021-01-16
Survey response — day 14, dose 1MedDRA: COVID-19 — Feeling: Poor · Be unable to work, 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: Positive for Covid-19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-17
Survey response — day 21, dose 1MedDRA: COVID-19 — Feeling: Poor · Be unable to work, 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: Diagnosed with Covid on 1/14/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-25
Survey response — day 28, dose 1MedDRA: Pneumonia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, 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: Covid positive and now have a lung infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-25
Dose 2 — Moderna
- 2021-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Itching of arms/chest area. No rash.
Systemic reaction (other): Lots of itching on chest and arms
Release 2 — day 14, dose 1
Symptoms: Positive for Covid-19
Release 2 — day 21, dose 1
Symptoms: Diagnosed with Covid on 1/14/21
Release 2 — day 28, dose 1
Symptoms: Covid positive and now have a lung infection
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 | COVID-19 | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release