6F9-30425-56905
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 373 / TN
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-29
Survey response — day 14, dose 1MedDRA: Back pain — Feeling: FairFree text: Well not sure rested to the vaccine but Im experiencing some lower back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — day 21, dose 1MedDRA: Back disorder, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ive had headaches and lower back problems, not sure if related but wanted to mention it. · Healthcare visit (other): In person doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: I felt dizzy later yesterday not sure if related to the shot or the pollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
-
2021-05-10
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: Ive had a headache off and on for about a week, not sure if related to allergies but want to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — day 35, dose 2MedDRA: Chills, Hyperhidrosis, Pain, Pyrexia — Feeling: GoodFree text: Last Thursday and Friday I felt feverish, achey and had chills and at approximately 4am Saturday morning I woke up from extreme sweating, like you would when your fever breaks and from that point I felt better- refreshed even.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-07-12
- 2022-03-16
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little dizzy
Release 6 — day 14, dose 1
Symptoms: Well not sure rested to the vaccine but Im experiencing some lower back pain.
Release 6 — day 21, dose 1
Symptoms: Ive had headaches and lower back problems, not sure if related but wanted to mention it.
Healthcare visit (other): In person doctor visit
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I felt dizzy later yesterday not sure if related to the shot or the pollen.
Release 8 — day 28, dose 2
Symptoms: Ive had a headache off and on for about a week, not sure if related to allergies but want to report it.
Release 8 — day 35, dose 2
Symptoms: Last Thursday and Friday I felt feverish, achey and had chills and at approximately 4am Saturday morning I woke up from extreme sweating, like you would when your fever breaks and from that point I felt better- refreshed even.
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 | Back disorder | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release