6GR-21731-82435
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
-
2021-01-22
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-06
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-27
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Physiotherapy, Pre-existing disease, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have MS and have been undergoing IVIG infusions as part of my treatment. I have been having symptoms probably related to this treatment. · Healthcare visit (other): Visit with my Neurologist and Physical Therapist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Mobility decreased, Muscle spasms, Pre-existing disease, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fever last night and had spasms in arms and legs (probably related to reaction I get w fevers due to multiple sclerosis. Could not sit or stand up upon waking in middle of the night.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-02
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Cough, Ear pain, Headache, Lymphadenopathy, Oropharyngeal pain, SARS-CoV-2 test, SARS-CoV-2 test negative, Sneezing — Feeling: Poor · 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: Symptoms: In the past few days, Sore throat, headache ear pain, swollen glands, coughing and sneezing. No fever. I had 2 rapid COVID tests that were both negative · Healthcare visit (other): 2 rapid COVID tests: both at homeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): No
Release 8 — 3 months, dose 2
Symptoms: I have MS and have been undergoing IVIG infusions as part of my treatment. I have been having symptoms probably related to this treatment.
Healthcare visit (other): Visit with my Neurologist and Physical Therapist.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fever last night and had spasms in arms and legs (probably related to reaction I get w fevers due to multiple sclerosis. Could not sit or stand up upon waking in middle of the night.
Release 11 — 3 months, dose 3
Symptoms: In the past few days, Sore throat, headache ear pain, swollen glands, coughing and sneezing. No fever. I had 2 rapid COVID tests that were both negative
Healthcare visit (other): 2 rapid COVID tests: both at home
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 | Physiotherapy | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release