6KJ-21642-98623
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 290 / SC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-04
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthropod bite, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: I thought I had bug bites from working in the yard Saturday. Today I realized its a rash from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-16
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 28, dose 2MedDRA: Blood thyroid stimulating hormone decreased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My thyroid TSH level has declined rapidly but I dont assume its connected to the COVID vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-22
Survey response — day 42, dose 2MedDRA: Fatigue, Pain — Feeling: PoorFree text: Fatigue and achiness, but I dont think its related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been diagnosed with Achalasia and have surgery on Monday. My thyroid level is also extremely low and I have an appointment with an endocrinologist in August. · Healthcare visit (other): Doctor appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-14
-
2021-10-10
Survey response — 6 months, dose 2MedDRA: Thyroid disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Doctors still trying to get my thyroid in the normal range. Not connected to vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
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)
- 2021-10-14
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I thought I had bug bites from working in the yard Saturday. Today I realized its a rash from the vaccine.
Release 8 — day 28, dose 2
Symptoms: My thyroid TSH level has declined rapidly but I dont assume its connected to the COVID vaccine.
Release 8 — day 42, dose 2
Symptoms: Fatigue and achiness, but I dont think its related to the vaccine.
Release 9 — 3 months, dose 2
Symptoms: I have been diagnosed with Achalasia and have surgery on Monday. My thyroid level is also extremely low and I have an appointment with an endocrinologist in August.
Healthcare visit (other): Doctor appointment
Release 10 — 6 months, dose 2
Symptoms: Doctors still trying to get my thyroid in the normal range. Not connected to vaccine.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Blood thyroid stimulating hormone decreased | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SRO | Arthropod bite | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release