6GZ-31098-81367
6 vaccinations
14 coded responses
55 check-ins
14 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 021 / MA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
-
2021-02-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 1MedDRA: Cough — Feeling: GoodFree text: Dry cough began 3/5/21, got worse for a few days, then improving since 3/10/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Chills, Hypoaesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fingers had white areas that were numb at the same time as I had chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of appetite, Ive lost 3 lbs. since the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Dysphonia — Feeling: Good · Fatigue or tirednessFree text: Hoarse voiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
-
2021-08-24
Dose 3 — Moderna
-
2021-09-24
Survey response — 6 months, dose 2MedDRA: Macular degeneration, Unevaluable event, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Visual disturbances which are tentatively diagnosed as Age-related Macular Degeneration · Healthcare visit (other): Outpatient eye testing and brain MRIMedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-29
- 2021-10-01
- 2021-11-24
-
2022-02-16
Dose 4 — Moderna
-
2022-02-22
Survey response — 6 months, dose 3MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Dose 5 — Moderna
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
-
2022-06-30
Survey response — day 7, dose 5MedDRA: Ophthalmic migraine — Feeling: GoodFree text: Ocular migraine (which I get occasionally)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2022-07-14
- 2022-07-21
- 2022-07-28
- 2022-08-04
-
2022-09-22
Survey response — 3 months, dose 5MedDRA: Parainfluenzae virus infection, Respiratory symptom — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Parainfluenza virus 8/12/22 followed by worsening respiratory symptoms that required Augmentin prescribed 8/18/22MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-23
Dose 6 — Moderna
- 2022-09-23
- 2022-09-23
-
2022-09-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-24
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-25
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-09-26
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
-
2022-10-15
Survey response — day 21, dose 6MedDRA: Arthralgia, Pain, Pre-existing disease, Tendonitis — Feeling: GoodFree text: Right shoulder pain with some movements, not all the time. It feels like tendonitis which I have experienced twice before in that shoulder triggered by the drug Levaquin.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
-
2022-10-28
Survey response — day 35, dose 6MedDRA: Clostridium difficile infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with a C. difficile infection.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — day 35, dose 6Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-31
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-04
Survey response — day 42, dose 6MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Atrial fibrillationMedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Report sent to call center — day 42, dose 6Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-08
-
2022-11-11
Call successfulNot applicable - Accidental Reporting
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-02-16 | Moderna | No |
| 5 | 2022-06-23 | Moderna | No |
| 6 | 2022-09-23 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Dry cough began 3/5/21, got worse for a few days, then improving since 3/10/21.
Release 6 — day 0, dose 2
Systemic reaction (other): Fingers had white areas that were numb at the same time as I had chills
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite
Systemic reaction (other): Lack of appetite, Ive lost 3 lbs. since the vaccination
Systemic reaction (other): Lack of appetite
Systemic reaction (other): Hoarse voice
Release 8 — day 42, dose 2
Symptoms: Sore throat
Release 9 — 6 months, dose 2
Symptoms: Visual disturbances which are tentatively diagnosed as Age-related Macular Degeneration
Healthcare visit (other): Outpatient eye testing and brain MRI
Release 11 — 6 months, dose 3
Symptoms: Headaches
Release 12 — day 7, dose 5
Systemic reaction (other): Ocular migraine (which I get occasionally)
Release 12 — 3 months, dose 5
Symptoms: Parainfluenza virus 8/12/22 followed by worsening respiratory symptoms that required Augmentin prescribed 8/18/22
Release 12 — day 21, dose 6
Symptoms: Right shoulder pain with some movements, not all the time. It feels like tendonitis which I have experienced twice before in that shoulder triggered by the drug Levaquin.
Release 12 — day 35, dose 6
Symptoms: I was diagnosed with a C. difficile infection.
Release 12 — day 42, dose 6
Symptoms: Atrial fibrillation
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Clostridium difficile infection | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Macular degeneration | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Parainfluenzae virus infection | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Ophthalmic migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release