6M4-30684-26695
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 395 / MS
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: PainFree text: On and off arm pain. Sometimes pain is really bad. Goes away and comes back later. I am okay now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Impaired work ability, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: Had the above symptoms this morning. Missed work. Took two Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-10
- 2021-03-17
-
2021-08-18
Survey response — 6 months, dose 1MedDRA: Feeling abnormal, Headache, Office visit, Oropharyngeal pain, Secretion discharge, Self-medication, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: For about the last 5 weeks, sore throat, headaches, and serious sinus issues. Went to doctor. Received steroid shot, antiobiotocs, Zyrtec. Feeling better but something is still going on (I can tell). Mucus is clear and I can taste food.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): On and off arm pain. Sometimes pain is really bad. Goes away and comes back later. I am okay now.
Systemic reaction (other): Had the above symptoms this morning. Missed work. Took two Tylenol.
Release 9 — 6 months, dose 1
Symptoms: For about the last 5 weeks, sore throat, headaches, and serious sinus issues. Went to doctor. Received steroid shot, antiobiotocs, Zyrtec. Feeling better but something is still going on (I can tell). Mucus is clear and I can taste food.
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 | Feeling abnormal | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release