6MX-13128-76848

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-01-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-28
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Office visit, Oropharyngeal discomfort, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Throat problems. Could be Gerd but feels tight. Few days ago saw doctor · Healthcare visit (other): Primary care nurse practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 21, dose 1
MedDRA: Medical counselling, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Throat problem. Feels constrictive. After taking Flucoasol and Nystatin improving but still dont feel 100%. Soreness on right side when swallowing · Healthcare visit (other): Saw nurse practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 28, dose 1
MedDRA: Asthenia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Taking meds for thrush. Feel very weak. Will have an endoscopy next week and will see a throat specialist too. · Healthcare visit (other): Saw a nurse practitioner twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 35, dose 1
MedDRA: Asthenia, Office visit, Oropharyngeal discomfort, Pharyngeal swelling — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still having throat issues. Throat specialist said it was swollen. No thrush.Had an endoscopy Thursday. Waiting results. Bouts of weakness · Healthcare visit (other): Throat specialists office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-23
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling

Free text: Felt a little dizziness but went away soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: A little bit of nausea off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Hospitalisation — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Diarrhea · Healthcare visit (other): Admitted me for observation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-03-23	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Throat problems. Could be Gerd but feels tight. Few days ago saw doctor

Healthcare visit (other): Primary care nurse practitioner

Release 4 — day 21, dose 1

2021-02-20

Symptoms: Throat problem. Feels constrictive. After taking Flucoasol and Nystatin improving but still dont feel 100%. Soreness on right side when swallowing

Healthcare visit (other): Saw nurse practitioner

Release 4 — day 28, dose 1

2021-02-25

Symptoms: Taking meds for thrush. Feel very weak. Will have an endoscopy next week and will see a throat specialist too.

Healthcare visit (other): Saw a nurse practitioner twice

Release 5 — day 35, dose 1

2021-03-06

Symptoms: Still having throat issues. Throat specialist said it was swollen. No thrush.Had an endoscopy Thursday. Waiting results. Bouts of weakness

Healthcare visit (other): Throat specialists office visit

Release 6 — day 0, dose 2

2021-03-23

Systemic reaction (other): Felt a little dizziness but went away soon

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): A little bit of nausea off and on

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Diarrhea

Healthcare visit (other): Admitted me for observation

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	Hospitalisation	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal discomfort	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nausea	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release