6LJ-15656-27648
5 vaccinations
7 coded responses
33 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Last night a little tightness in my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Lymph node pain — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: R ear pain and sore gland on R last night. Resolved today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Asthenia, Malaise — Feeling: Good · Be unable to do your normal daily activitiesFree text: Felt ill with no energy after being with extended family. Lasted about 1 to 1 1/2 days. I was immunized for Covid February-March 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-15
-
2021-10-29
Dose 3 — Moderna
-
2022-03-16
Survey response — 12 months, dose 2MedDRA: Cardiac disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cardiac relatedMedDRA releases: 2024-11 · check-in free text available
-
2022-03-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-17
-
2022-05-27
Dose 4 — Moderna
-
2022-09-15
Dose 5 — Moderna
-
2022-09-25
Survey response — day 7, dose 5MedDRA: Contusion, Fatigue, Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: At time of Sep 15 2022 vaccine had fatigue, bruising, pain at site;MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-28
-
2022-12-15
Survey response — 3 months, dose 5MedDRA: Fatigue, Headache, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Felt exhausted and I thought I was coming down with something. Had a headache. Fell asleep during the day which is not usual. But better the next AM so maybe my flu shot or omicron vaccine kept something at bay.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-16
Survey response — 6 months, dose 5MedDRA: COVID-19, Malaise, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Last night a little tightness in my chest
Systemic reaction (other): R ear pain and sore gland on R last night. Resolved today.
Release 9 — 3 months, dose 2
Symptoms: Felt ill with no energy after being with extended family. Lasted about 1 to 1 1/2 days. I was immunized for Covid February-March 2021.
Release 11 — 12 months, dose 2
Symptoms: Cardiac related
Release 12 — day 7, dose 5
Systemic reaction (other): At time of Sep 15 2022 vaccine had fatigue, bruising, pain at site;
Release 12 — 3 months, dose 5
Symptoms: Felt exhausted and I thought I was coming down with something. Had a headache. Fell asleep during the day which is not usual. But better the next AM so maybe my flu shot or omicron vaccine kept something at bay.
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 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release