3E6-17101-18627
4 vaccinations
5 coded responses
34 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: Red arm 8 days after I received the vaccine. It was on the front of the arm and not at the back which was the injection site. It was slightly warm but did not hurt or itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-21
-
2021-02-23
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain, Pain in extremity, Pyrexia — Feeling: GoodFree text: I did have fever, body aches and a headache the day after I was vaccinated, but was fine the next day. Arm is still a little sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-10-29
Dose 3 — Moderna
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: RednessFree text: Sore arm on day of shot and for three days afterMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-04
Dose 4 — Moderna
- 2022-04-15
- 2022-04-27
-
2022-05-09
Survey response — day 35, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Having an episode of microscopic colitis. Haven't had one since 2020.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
-
2022-07-04
Survey response — 3 months, dose 4MedDRA: Dry mouth, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dry mouth. Mostly at night but also some during the day. · Healthcare visit (other): Spoke with dental hygienist.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-05
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: Red arm 8 days after I received the vaccine. It was on the front of the arm and not at the back which was the injection site. It was slightly warm but did not hurt or itch.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I did have fever, body aches and a headache the day after I was vaccinated, but was fine the next day. Arm is still a little sore.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore arm on day of shot and for three days after
Release 11 — day 35, dose 4
Symptoms: Having an episode of microscopic colitis. Haven't had one since 2020.
Release 12 — 3 months, dose 4
Symptoms: Dry mouth. Mostly at night but also some during the day.
Healthcare visit (other): Spoke with dental hygienist.
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 | Medical counselling | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release