6CP-16795-98856
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-05
Dose 2 — Moderna
- 2021-04-07
- 2021-06-10
-
2021-09-08
Survey response — 6 months, dose 1MedDRA: Back pain, Fall, Spinal meningeal cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Perineural cysts found on my spine. Causes lower back pain. Doc says I probably had them all my life. Pain started after a fall.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-12
- 2021-09-21
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 21, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: PoorFree text: Head cold and cough after being on a 7 day cruise. Am going to take a Covid test in a while just to make sure it's just a cold.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad head cold and cough after a weeks cruise to western Caribbean. Never got off the boat. Covid test was negative, apparently it's just a head cold.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Breast mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump in my left breast · Healthcare visit (other): Diagnostic imagingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-01
- 2022-02-04
-
2022-04-01
Dose 4 — Moderna
- 2022-04-18
- 2022-04-22
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-07-01
- 2022-10-02
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-05 | Moderna | No |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — 6 months, dose 1
Symptoms: Perineural cysts found on my spine. Causes lower back pain. Doc says I probably had them all my life. Pain started after a fall.
Release 10 — day 21, dose 3
Symptoms: Head cold and cough after being on a 7 day cruise. Am going to take a Covid test in a while just to make sure it's just a cold.
Release 10 — day 28, dose 3
Symptoms: Bad head cold and cough after a weeks cruise to western Caribbean. Never got off the boat. Covid test was negative, apparently it's just a head cold.
Release 11 — 3 months, dose 3
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 | Back pain | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Spinal meningeal cyst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release