6FC-26706-45222
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 955 / CA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
- 2021-02-15
- 2021-02-16
- 2021-02-23
-
2021-03-03
Survey response — day 21, dose 1MedDRA: Injection site scab — Feeling: GoodFree text: Nothing really, I know it can happen with injections; just noted at injection site a scab which wasn't there earlier. No pain, just that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Day 2 arm pain & fatigue. That was it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sat. started with a tickle, then sore throat, slight HA. Sore throat cont through today, congestion. · Healthcare visit (other): Rapid test & PCR, check-up. Rapid negative..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — day 21, dose 2MedDRA: Chills, Cough, Fatigue, Influenza virus test negative, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sat- Wed. Sore throat, cough, chills, fatigue. COVID PCR Mon. Neg. Wed. As well as flu neg. Improved Wed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
- 2021-04-19
- 2021-06-07
-
2022-01-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Nothing really, I know it can happen with injections; just noted at injection site a scab which wasn't there earlier. No pain, just that.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Day 2 arm pain & fatigue. That was it.
Release 6 — day 14, dose 2
Symptoms: Sat. started with a tickle, then sore throat, slight HA. Sore throat cont through today, congestion.
Healthcare visit (other): Rapid test & PCR, check-up. Rapid negative..
Release 6 — day 21, dose 2
Symptoms: Sat- Wed. Sore throat, cough, chills, fatigue. COVID PCR Mon. Neg. Wed. As well as flu neg. Improved Wed.
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | Injection site scab | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release