6BX-12334-21800
3 vaccinations
6 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 840 / UT
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: GoodFree text: My feet get sporadically really hot. My feet are never warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-28
- 2021-02-04
-
2021-02-11
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest and sinus congestion, headache, sore throat. I have tested negative for COVID twice this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint painsAdult check-in
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-04
Survey response — day 14, dose 2MedDRA: Abdominal distension, Decreased appetite, Weight decreased — Feeling: GoodFree text: My gut felt so full for 3 days that I didn't eat much. I have lost weight as a result. This does happen to me sometimes though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
-
2021-11-18
Dose 3 — Moderna
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Presyncope — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I nearly fainted today.MedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Armpit swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2021-12-17
- 2021-12-23
-
2021-12-30
Survey response — day 42, dose 3MedDRA: Paraesthesia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tingly finger tips that comes and goes for the last 2 weeks. · Healthcare visit (other): Have an appointment next weekMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-06
- 2022-02-19
- 2022-05-19
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My feet get sporadically really hot. My feet are never warm.
Release 4 — day 21, dose 1
Symptoms: Chest and sinus congestion, headache, sore throat. I have tested negative for COVID twice this week.
Release 5 — day 14, dose 2
Symptoms: My gut felt so full for 3 days that I didn't eat much. I have lost weight as a result. This does happen to me sometimes though.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I nearly fainted today.
Systemic reaction (other): Armpit swelling
Release 10 — day 42, dose 3
Symptoms: Tingly finger tips that comes and goes for the last 2 weeks.
Healthcare visit (other): Have an appointment next week
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Presyncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release