XQK-13719-54210
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 775 / TX
- Registered
- 2021-08-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-23
Dose 1 — Moderna
-
2021-08-01
Registered in v-safe
-
2021-08-01
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-08-06
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Muscle tightness — Feeling: GoodFree text: Jaw muscle tightnessContinued redness at injection sight but not more swellingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-15
-
2021-08-20
Dose 2 — Moderna
- 2021-08-22
- 2021-08-23
-
2021-08-24
Survey response — days 1–6 daily, dose 2MedDRA: Acne, Vaccine positive rechallenge — Feeling: GoodFree text: Facial pimples after both of the vaccinesMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-05
- 2021-09-19
- 2021-09-26
- 2021-10-01
- 2021-11-19
- 2022-02-18
-
2022-08-20
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, COVID-19 — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Had COVID in January and had a miscarriage August 10thMedDRA releases: 2024-11 · check-in free text available
-
2022-08-20
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Moderna | No |
| 2 | 2021-08-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-20 | Unsuccessful |
Free text
Release 9 — day 14, dose 1
Symptoms: Jaw muscle tightnessContinued redness at injection sight but not more swelling
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Facial pimples after both of the vaccines
Release 12 — 12 months, dose 2
Symptoms: Had COVID in January and had a miscarriage August 10th
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 | Abortion spontaneous | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | ✓ | · | ✓ |
| SD | Injection site swelling | ✓ | · | ✓ |
| SD | Muscle tightness | ✓ | · | ✓ |
| SRO | Acne | ✓ | · | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release