6A9-32080-69111
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- 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
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Sleep disorder — Feeling: GoodFree text: I finally slept well last night- my sleep was disrupted for two nights and I feel like myself todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Malaise, Pruritus, Urticaria — Feeling: Fair · 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: Hives and overall not feeling good. It started with generalized itchiness on Sat March 6 and hives appeared the next day. The vaccine was Friday 26 Feb. I have my sixth day of hives today but I think it is improving some. I am on 3 antihistaminesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had hives starting one week after the second dose. I was switched off all meds- (b)(6), HCTZ, and spironolactone. I was placed on Zyrtec, Pepcid, and Benadryl. Finally the hives resolved and I tapered off the Benadryl, Pepcid and Zyrtec.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Atrial fibrillationMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
-
2022-02-28
Survey response — 12 months, dose 2MedDRA: Atrial fibrillation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Atrial fib · Healthcare visit (other): AblationMedDRA releases: 2024-11 · check-in free text available
-
2022-02-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I finally slept well last night- my sleep was disrupted for two nights and I feel like myself today
Release 5 — day 14, dose 2
Symptoms: Hives and overall not feeling good. It started with generalized itchiness on Sat March 6 and hives appeared the next day. The vaccine was Friday 26 Feb. I have my sixth day of hives today but I think it is improving some. I am on 3 antihistamines
Release 6 — day 28, dose 2
Symptoms: I had hives starting one week after the second dose. I was switched off all meds- (b)(6), HCTZ, and spironolactone. I was placed on Zyrtec, Pepcid, and Benadryl. Finally the hives resolved and I tapered off the Benadryl, Pepcid and Zyrtec.
redacted (b)(6)
Release 9 — 6 months, dose 2
Symptoms: Atrial fibrillation
Release 11 — 12 months, dose 2
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 | Unevaluable event | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release