6CY-14867-90482
5 vaccinations
5 coded responses
57 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 241 / VA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Influenza like illness, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Starting 1 hr after vax I had altered skin sensation on a small area on my tongue, then my upper eyelid and over my cheekbone. All on opposite side from vax (rt). Similar to when local anesthetic wearing off after dental procedure. Got very mildly worse (still very subtle), remainded for about 60-90 minutes and then resolved. No visible facial paralysis. No loss of function. Flu-like symptoms listed above were moderate and required 220 mg naproxen orally, which jas lasted about 8 hrs. Did take 1 naproxen pm at 9 pm 1/13 as usual before bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under armpit on side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Mild swelling in armpit on same site vax givenMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Chills, Diarrhoea, Fatigue, Headache, Pain, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chills, fatigue, aches, diarrhea, headache. Covid test pending.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-22
Dose 4 — Moderna
-
2022-04-22
Health check-in — day 0, dose 4Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-09-16
Dose 5 — Moderna
- 2022-09-27
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-18
-
2023-03-17
Survey response — 6 months, dose 5MedDRA: Cough, Oropharyngeal pain, Sinus congestion — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Starting 1 hr after vax I had altered skin sensation on a small area on my tongue, then my upper eyelid and over my cheekbone. All on opposite side from vax (rt). Similar to when local anesthetic wearing off after dental procedure. Got very mildly worse (still very subtle), remainded for about 60-90 minutes and then resolved. No visible facial paralysis. No loss of function. Flu-like symptoms listed above were moderate and required 220 mg naproxen orally, which jas lasted about 8 hrs. Did take 1 naproxen pm at 9 pm 1/13 as usual before bed.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling under armpit on side of injection
Systemic reaction (other): Mild swelling in armpit on same site vax given
Release 10 — day 14, dose 3
Symptoms: Chills, fatigue, aches, diarrhea, headache. Covid test pending.
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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release