6DR-23721-75078
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 612 / IL
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis — Feeling: GoodFree text: I can't say for certain that this is related to the vaccination, but I noted I was very slightly sweaty the last two night. Not problematic and might not even be related but O thought I would mention it in case others noted this too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Pyrexia, Skin discolouration — Feeling: Good · Site: Pain, SwellingFree text: It is important to report that AFTER I completed my check in yestetday (2/18/21) I developed two more symptoms. I had a mild fever of 100.4. Additionally, I had numbness and loss of coloration in my left index finger, right heel, and left heel.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-11
-
2021-03-17
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — day 35, dose 2MedDRA: Dizziness, Headache, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Dizziness and headaches · Healthcare visit (other): Primary physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
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)
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2022-03-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I can't say for certain that this is related to the vaccination, but I noted I was very slightly sweaty the last two night. Not problematic and might not even be related but O thought I would mention it in case others noted this too.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): It is important to report that AFTER I completed my check in yestetday (2/18/21) I developed two more symptoms. I had a mild fever of 100.4. Additionally, I had numbness and loss of coloration in my left index finger, right heel, and left heel.
Release 5 — day 28, dose 2
Symptoms: Headache
Release 6 — day 35, dose 2
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release