6FJ-20658-29271
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 681 / NE
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-17
- 2021-01-18
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Dysmenorrhoea — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Feels like menstral cramps 24/7MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Peripheral swelling, Pruritus, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Abdominal painFree text: Arm is red (warm to the touch). Litle itch here and there. Swelling in shape if floridaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-03-07
Survey response — day 21, dose 2MedDRA: Headache, Hypoaesthesia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My right arm is still achey. My fingers and arm goes numb at times. Hurts to lay on right side. Still getting headaches about 2 x weekly. Never had headaches in my life until covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-26
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Erythema, Injected limb mobility decreased, Office visit, Pain, Pain in extremity, Rash, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My arm has bumps and hurts still. Shooting pain here and there up and down my arm since my 2nd shot. ... · Healthcare visit (other): Went to UNMC. And had to go to Orthopedic surgeon because i cant lift my right arm ( where both shots were ) above my head. Pain. Redness and swelling comes and goes since FebruaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feels like menstral cramps 24/7
Systemic reaction (other): Arm is red (warm to the touch). Litle itch here and there. Swelling in shape if florida
Release 5 — day 21, dose 2
Symptoms: My right arm is still achey. My fingers and arm goes numb at times. Hurts to lay on right side. Still getting headaches about 2 x weekly. Never had headaches in my life until covid.
Release 8 — 3 months, dose 2
Symptoms: My arm has bumps and hurts still. Shooting pain here and there up and down my arm since my 2nd shot. ...
Healthcare visit (other): Went to UNMC. And had to go to Orthopedic surgeon because i cant lift my right arm ( where both shots were ) above my head. Pain. Redness and swelling comes and goes since February
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 | Erythema | ✓ | ✓ | ✓ |
| HCVO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pain | ✓ | ✓ | ✓ |
| HCVO | Swelling | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release