6AV-31272-52340
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Constipation, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 1/17 congestion, cough, sore throat, fever 100.2 F body aches fatigue, 1/16 constipation, fatigue, cough, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pruritus — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Itching, red, blistered needle stick spot from 1/4/21 that had been bruised but healing but this started yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-22
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-21
Survey response — day 7, dose 2MedDRA: Chills, Headache, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pyrexia — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: From 2/13-2/26 I had headaches, chills, fever as high as 101.1, injection site warm to touch, red, hard in the center, and itchy. None since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Report sent to call center — day 7, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
- 2021-03-05
-
2021-03-14
Survey response — day 28, dose 2MedDRA: Ear pain, Sneezing — Feeling: GoodFree text: Ear sores not attributed to COVID or thr vaccine. Sneezing allergy related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
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2021-03-26
Survey response — day 42, dose 2MedDRA: Abdominal pain, Arthralgia, Constipation, Pain, Pancreatic mass, Retching — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: Constipation abdominal pain radiating to shoulder all left side then radiating to right side and dry heaving. · Healthcare visit (other): Multiple test showing fatty pancreatic massMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
- 2021-05-14
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2021-08-16
Survey response — 6 months, dose 2MedDRA: Cholecystectomy, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Gallbladder removal surgery /10/21 · Healthcare visit (other): Short procedural hospital visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-16
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)
- 2021-08-17
- 2021-12-10
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
5 call center cases
5 unsuccessful
2 waits over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): 1/17 congestion, cough, sore throat, fever 100.2 F body aches fatigue, 1/16 constipation, fatigue, cough, sore throat
Systemic reaction (other): Itching, red, blistered needle stick spot from 1/4/21 that had been bruised but healing but this started yesterday.
Release 4 — day 7, dose 2
Systemic reaction (other): From 2/13-2/26 I had headaches, chills, fever as high as 101.1, injection site warm to touch, red, hard in the center, and itchy. None since.
Release 5 — day 28, dose 2
Symptoms: Ear sores not attributed to COVID or thr vaccine. Sneezing allergy related.
Release 6 — day 42, dose 2
Symptoms: Constipation abdominal pain radiating to shoulder all left side then radiating to right side and dry heaving.
Healthcare visit (other): Multiple test showing fatty pancreatic mass
Release 9 — 6 months, dose 2
Symptoms: Gallbladder removal surgery /10/21
Healthcare visit (other): Short procedural hospital visit
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 | Pancreatic mass | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cholecystectomy | ✓ | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Retching | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release