6LF-33196-85153
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
-
2021-02-02
Survey response — day 0, dose 1MedDRA: Cold sweat — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea, Abdominal painFree text: Cold sweats, on and off; little caught, not all the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea, Abdominal painFree text: Slightly sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
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2021-02-16
Survey response — day 14, dose 1MedDRA: Back pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Got a painful rush on my back last week (up on the right, a spot of about two inches long; cannot explain with allergy or something particular. ) Scheduled a medical appointment. · Healthcare visit (other): It is scheduled for the end of this week; an appointment. Not emergent for now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-23
Survey response — day 21, dose 1MedDRA: Herpes zoster — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Herpes Zoster on my back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-03-09
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2021-03-10
Dose 2 — Moderna
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2021-03-17
Survey response — day 7, dose 2MedDRA: Chills, Herpes zoster, Pain, Skin irritation — Feeling: Fair · Site: Pain · HeadacheFree text: Next day after vaccination: chills, severe pain, nausea. Two days after the second dosage: shingles got irritated and the pain at the shingles side increased.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-08-04
- 2021-08-05
- 2021-09-10
-
2021-12-22
Dose 3 — Moderna
- 2022-03-12
- 2022-03-23
- 2022-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Cold sweats, on and off; little caught, not all the time
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly sore throat
Release 4 — day 14, dose 1
Symptoms: Got a painful rush on my back last week (up on the right, a spot of about two inches long; cannot explain with allergy or something particular. ) Scheduled a medical appointment.
Healthcare visit (other): It is scheduled for the end of this week; an appointment. Not emergent for now.
Release 4 — day 21, dose 1
Symptoms: Herpes Zoster on my back.
Release 5 — day 7, dose 2
Systemic reaction (other): Next day after vaccination: chills, severe pain, nausea. Two days after the second dosage: shingles got irritated and the pain at the shingles side increased.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Skin irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release