6KC-12768-40038
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
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2021-03-23
Survey response — day 0, dose 1MedDRA: Nausea — Feeling: Fair · Site: Pain · Fever · Headache, NauseaFree text: Nausea within 5 min. Had headache prior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Mostly experienced overnight sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-04-22
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-25
- 2021-04-26
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2021-04-29
Survey response — day 7, dose 2MedDRA: Adnexa uteri pain, Cyst — Feeling: GoodFree text: Ovarian pain. Definitely a cyst. Occasionally had them but this one has been more severe than others. I do not have PCOS.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Mental healthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
-
2021-05-25
Survey response — day 35, dose 2MedDRA: Anxiety — Feeling: GoodFree text: Anxiety. Probably not correlated with the vaccine though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 42, dose 2MedDRA: Anxiety, Medical counselling, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Anxiety. · Healthcare visit (other): Have been seeing counselor for 1.5 years now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-12
- 2021-07-20
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2021-10-19
Survey response — 6 months, dose 2MedDRA: Fatigue, Ovarian cyst, Pre-existing disease — 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: Ovarian cyst (have occasionally gotten before vaccine). Extreme fatigue occasionally.MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Nausea within 5 min. Had headache prior.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mostly experienced overnight sleeping.
Release 8 — day 7, dose 2
Systemic reaction (other): Ovarian pain. Definitely a cyst. Occasionally had them but this one has been more severe than others. I do not have PCOS.
Release 8 — day 14, dose 2
Symptoms: Mental health
Release 8 — day 35, dose 2
Symptoms: Anxiety. Probably not correlated with the vaccine though.
Release 8 — day 42, dose 2
Symptoms: Anxiety.
Healthcare visit (other): Have been seeing counselor for 1.5 years now.
Release 10 — 6 months, dose 2
Symptoms: Ovarian cyst (have occasionally gotten before vaccine). Extreme fatigue occasionally.
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 | Behavioural therapy | ○ | ○ | ○ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ○ | ○ | ○ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adnexa uteri pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Cyst | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release