Z57-16292-17217
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Burning sensation, Erythema, Injection site erythema, Lymph node pain, Lymphadenopathy, Office visit, Pain, Pruritus, Skin infection, Specialist consultation — Feeling: GoodFree text: I had to go to the doctor. I got a skin infection and doctor gave me penicillin. Red spot at injection site on the 8th day started to grow and creeping down and under my arm. Itching and stinging/burning. After 4 days on meds /resolved. Lymph node inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Dizziness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Soreness under right arm Injection was in right arm. A bit dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: A little trouble focusing my eyes befor 9:30 am then it was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: Sweating more than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Cough, Dyspepsia, Gastrooesophageal reflux disease — Feeling: GoodFree text: GERD started 3/8/2021 and am still experiencing heartburn with dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: I had to go to the doctor. I got a skin infection and doctor gave me penicillin. Red spot at injection site on the 8th day started to grow and creeping down and under my arm. Itching and stinging/burning. After 4 days on meds /resolved. Lymph node in cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness under right arm Injection was in right arm. A bit dizzy.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A little trouble focusing my eyes befor 9:30 am then it was gone.
Systemic reaction (other): Sweating more than usual
Release 5 — day 14, dose 2
Symptoms: GERD started 3/8/2021 and am still experiencing heartburn with dry cough
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 | Burning sensation | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ○ | ✓ | ○ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin infection | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ○ | ✓ | ○ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release