4Z6-20754-71337
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 953 / CA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Erythema, Fatigue, Feeling abnormal, Headache, Inflammation, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: On day 9 arm was swollen, inflamed, painful & itchy. Severe fatigue & headache for 2 days. Inflammation started going down. Today is day 14. It has happened again. Red area is larger than before. Severe fatigue & headache again. I feel pretty crummyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
-
2021-03-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-14
- 2021-04-20
- 2021-06-08
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Fatigue, Headache, Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Vertigo — 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 · Telehealth, virtual health, or email health consultationFree text: Tested positive for Covid on 8/7/21. Severe sinus congestion, severe headache, vertigo, fatigue, loss of taste & smell, fever for 5 days. Still have vertigo, headache and mild fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 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 pr1 call case(s)
- 2021-09-14
-
2021-09-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 1
Symptoms: On day 9 arm was swollen, inflamed, painful & itchy. Severe fatigue & headache for 2 days. Inflammation started going down. Today is day 14. It has happened again. Red area is larger than before. Severe fatigue & headache again. I feel pretty crummy cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Tested positive for Covid on 8/7/21. Severe sinus congestion, severe headache, vertigo, fatigue, loss of taste & smell, fever for 5 days. Still have vertigo, headache and mild fatigue.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release