6BF-92341-89157
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 304 / GA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Nausea — Feeling: Fair · Site: Pain · NauseaFree text: I skipped a snack for the Virus Shot & became Nauseous. After eating my stomach settled down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: Pain started with a level 1. As of NOW, there is NO pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — day 7, dose 1MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tirednessFree text: Not sleeping as long at night - I take Daily naps for 1-1/2 hr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Fair · Fever · HeadacheFree text: I have a fever blister on my top Lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Slight headache EVERY Day plus extremely tired after 4pm. Always need to rest from 4-6pm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
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2021-04-15
Survey response — day 42, dose 2MedDRA: Emergency care, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Not related to Virus - I had a Heart Catherization. My Wrist is sore from the Artery Probe. I have to change my Medication · Healthcare visit (other): I was at the Emergency Room + (b)(6) HospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-03
Survey response — 3 months, dose 2MedDRA: Chest pain, Dizziness, Dyspnoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I was having Chest Pain, shortness of Breath & Dizziness because a Heart Dr prescribed a Drug that caused these symptomsWhich qualified me for a Heart CatherizationMediCare paid the Bill & I have NO Artery BlockagesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): I skipped a snack for the Virus Shot & became Nauseous. After eating my stomach settled down.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Pain started with a level 1. As of NOW, there is NO pain.
Release 4 — day 7, dose 1
Systemic reaction (other): Not sleeping as long at night - I take Daily naps for 1-1/2 hr.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have a fever blister on my top Lip.
Release 6 — day 21, dose 2
Symptoms: Slight headache EVERY Day plus extremely tired after 4pm. Always need to rest from 4-6pm.
Release 7 — day 42, dose 2
Symptoms: Not related to Virus - I had a Heart Catherization. My Wrist is sore from the Artery Probe. I have to change my Medication
Healthcare visit (other): I was at the Emergency Room + (b)(6) Hospital
redacted (b)(6)
Release 8 — 3 months, dose 2
Symptoms: I was having Chest Pain, shortness of Breath & Dizziness because a Heart Dr prescribed a Drug that caused these symptomsWhich qualified me for a Heart CatherizationMediCare paid the Bill & I have NO Artery Blockages
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release