6FG-33094-28163
4 vaccinations
8 coded responses
48 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 837 / ID
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: A stuffy nose and a little bit of a sore throat. Nothing that has slowed me down, but I thought worth me rooming. Mostly hits me at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: Headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-17
Dose 2 — Moderna
-
2021-02-17
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, DiarrheaAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I noticed what I think may be swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Swollen lymph nodes?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-03-05
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: I have a swollen lymph node in my armpit and on my collar bone area on the same side I got the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-10-29
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-05
- 2022-01-23
- 2022-04-25
-
2022-10-22
Survey response — 12 months, dose 3MedDRA: Gallbladder disorder, Nephrolithiasis, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Kidney stones and gallbladder issues. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-10-23
Dose 4 — ModernaCo-administered: Flu
- 2022-10-23
- 2022-10-24
-
2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain, Lymphadenopathy — Feeling: Good · Site: Pain, RednessFree text: Swollen lymph nodes, earacheMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-10-27
- 2022-10-29
- 2022-10-30
-
2022-11-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-07
- 2022-11-13
- 2022-11-22
-
2022-11-27
Survey response — day 35, dose 4MedDRA: Arthralgia, Cough, Flank pain, Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Stuffy nose, sore throat, cough, shoulder and side pain.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-22
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-10-23 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: A stuffy nose and a little bit of a sore throat. Nothing that has slowed me down, but I thought worth me rooming. Mostly hits me at night.
Release 4 — day 21, dose 1
Symptoms: Headaches.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I noticed what I think may be swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have a swollen lymph node in my armpit and on my collar bone area on the same side I got the vaccine.
Release 12 — 12 months, dose 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes, earache
Release 12 — day 35, dose 4
Symptoms: Stuffy nose, sore throat, cough, shoulder and side pain.
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 | Surgery | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release