6DD-27350-37379
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 973 / OR
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Moderna
- 2021-04-11
- 2021-04-13
- 2021-04-14
- 2021-04-16
- 2021-04-18
- 2021-04-24
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2021-05-01
Survey response — day 21, dose 1MedDRA: Vision blurred — Feeling: Good · Be unable to do your normal daily activitiesFree text: Blurred vision.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Dose 2 — Moderna
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · HeadacheAdult check-in
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Osteoarthritis, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body achesFree text: Very mild soreness at the injection site. Much better than the day after. I have osteoarthritis. My legs hurt. But it was worse than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
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2021-06-05
Survey response — day 28, dose 2MedDRA: Asthenia, Chills, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, chills weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Survey response — day 35, dose 2MedDRA: Asthenia, Chest discomfort, Discomfort, Fatigue, Impaired healing, Lower urinary tract symptoms, Pollakiuria, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Weakness, tiredness. Pressure in my chest going through to my upper back. Frequent urination almost like a uti with Pressure. · Healthcare visit (other): Did a u/a at the hospital lab on fridayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-20
- 2021-06-22
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Muscle spasms, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swelling in hands and feet with cramping in both hands and feet.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-06
Survey response — 6 months, dose 2MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold like flu for about 5 daysMedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Survey response — 12 months, dose 2MedDRA: Asthma, Discharge, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: Allergies I believe. Runny nose, drainage and semi sore throat. Some asthma issues.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — day 21, dose 1
Symptoms: Blurred vision.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild soreness at the injection site. Much better than the day after. I have osteoarthritis. My legs hurt. But it was worse than normal.
Release 8 — day 28, dose 2
Symptoms: Fever, chills weakness
Release 9 — day 35, dose 2
Symptoms: Weakness, tiredness. Pressure in my chest going through to my upper back. Frequent urination almost like a uti with Pressure.
Healthcare visit (other): Did a u/a at the hospital lab on friday
Release 9 — 3 months, dose 2
Symptoms: Swelling in hands and feet with cramping in both hands and feet.
Release 10 — 6 months, dose 2
Symptoms: Cold like flu for about 5 days
Release 11 — 12 months, dose 2
Symptoms: Allergies I believe. Runny nose, drainage and semi sore throat. Some asthma issues.
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 | Impaired healing | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lower urinary tract symptoms | · | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Osteoarthritis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release