6ET-46532-63504
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Symptoms are almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-17
Dose 2 — Moderna
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Injection site erythema, Injection site swelling, Myalgia, Nausea, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain, Redness, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: After my second shot, I would say my symptoms were moderate to severe for the first 24 hours, mild after that.I got my second shot last Wednesday. I developed fever, chills, muscle aches, nausea, soreness in my arm, and swelling and redness at the vaccination site. The fever,chills, and aches lasted abiut 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-24
-
2021-03-03
Survey response — day 14, dose 2MedDRA: Eye pruritus, Lacrimation increased, Sinus pain, Upper-airway cough syndrome — Feeling: FairFree text: Post nasal drip, itchy watery eyes, pain in sinusesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-25
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-10-23
Dose 3 — Moderna
- 2022-02-17
-
2022-04-04
Dose 4 — Moderna
-
2022-04-27
Survey response — day 21, dose 4MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, 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: Stomach fluMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-02
- 2022-05-04
- 2022-05-05
- 2022-05-09
- 2022-05-16
- 2022-10-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms are almost gone
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): After my second shot, I would say my symptoms were moderate to severe for the first 24 hours, mild after that.I got my second shot last Wednesday. I developed fever, chills, muscle aches, nausea, soreness in my arm, and swelling and redness at the vaccination site. The fever,chills, and aches lasted abiut 24 hours.
Release 5 — day 14, dose 2
Symptoms: Post nasal drip, itchy watery eyes, pain in sinuses
Release 11 — day 21, dose 4
Symptoms: Stomach flu
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 | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release