6F6-23052-89048
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 840 / UT
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Nausea — Feeling: Good · Site: Pain · Muscle or body achesFree text: Last night I felt nausea. Today the only muscle ache is from my shoulder up to the base of my neck on the right side. This started about an hour after my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: The pain is more just soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-02-01
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
-
2021-02-13
Survey response — day 0, dose 2MedDRA: Headache, Limb discomfort — Feeling: Good · HeadacheFree text: I had a small headache that did not last long. My arm is a little sore but not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Lymph swelling under my arm with the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Adverse reaction, SARS-CoV-2 test negative — 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: I have been on several doses of antibiotics for different things. Getting better thankfully. Tested negative for Covid twice during this.MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Report sent to call center — 12 months, dose 2Be 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)
- 2022-02-18
- 2022-02-21
-
2022-02-21
Callback requested for06:00PM ET
-
2022-02-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Last night I felt nausea. Today the only muscle ache is from my shoulder up to the base of my neck on the right side. This started about an hour after my shot.
Systemic reaction (other): The pain is more just soreness.
Release 4 — day 0, dose 2
Systemic reaction (other): I had a small headache that did not last long. My arm is a little sore but not painful.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph swelling under my arm with the injection.
Release 11 — 12 months, dose 2
Symptoms: I have been on several doses of antibiotics for different things. Getting better thankfully. Tested negative for Covid twice during this.
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 | Adverse reaction | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release