6LU-22839-08667
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 730 / OK
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Paranasal sinus hypersecretion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus drainage and brain fog just blahMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
-
2021-02-13
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pain, Injection site warmth, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: A 4 by 6 red circle around vaccination site. Fever in center where needle was inserted with pain at the injection site. Doc felt I was having a reaction to the binder in the vaccine. · Healthcare visit (other): Family doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — day 21, dose 1MedDRA: Erythema, Office visit, Pyrexia, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Wide area redness and welting with fever. Family doctor said it was an allergic reaction to vaccine binder possibly. Steroid pac and cream was administered and is clearing · Healthcare visit (other): Family doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Feeling abnormal, Somnolence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sleeping all day. Feel like Im in a fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Feeling abnormal, Malaise — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Low energy brain fog, just feel crappyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-08-06
- 2021-09-02
- 2022-03-03
-
2022-05-12
Dose 3 — Moderna
- 2022-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2022-05-12 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus drainage and brain fog just blah
Release 4 — day 14, dose 1
Symptoms: A 4 by 6 red circle around vaccination site. Fever in center where needle was inserted with pain at the injection site. Doc felt I was having a reaction to the binder in the vaccine.
Healthcare visit (other): Family doctor
Release 4 — day 21, dose 1
Symptoms: Wide area redness and welting with fever. Family doctor said it was an allergic reaction to vaccine binder possibly. Steroid pac and cream was administered and is clearing
Healthcare visit (other): Family doctor
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeping all day. Feel like Im in a fog
Systemic reaction (other): Low energy brain fog, just feel crappy
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Medical observation | ○ | ○ | ○ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vaccination site erythema | ○ | ○ | ○ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release