6LK-44615-04731
4 vaccinations
1 coded response
32 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 794 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
89J-31357-02579
Child or adolescent in my care · Male · 2021-11-11
P2P-28449-67551
Child or adolescent in my care · Male · 2022-07-07
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to workAdult check-in
- 2021-01-15
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-01-27
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Food poisoning, Headache, Viral infection — Feeling: GoodFree text: Diarrhea and headache, likely related to another virus or food poisoning.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-04
Dose 3 — Moderna
- 2021-11-11
- 2021-11-18
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
-
2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-04
- 2022-11-04
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-15 | priority 2/3 |
Free text
Release 9 — 6 months, dose 2
Symptoms: Diarrhea and headache, likely related to another virus or food poisoning.
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 | Diarrhoea | ✓ | · | ✓ |
| SD | Food poisoning | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release