6NL-27792-94408
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-02-04
Dose 2 — Moderna
-
2021-02-05
Registered in v-safe
- 2021-02-10
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ive had rt. arm pain and ROM issues since before shot which I believe to be related to RSI as a case interviewer or possibly long Covid from Aug. Rt Arm worse lately - I stopped NSAIDS to improve vaccine response. Shots were in left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My right arm is worse (not the side where I got shots, probably not related to the shot)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-13
- 2021-03-18
- 2021-05-07
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Gallbladder disorder, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: GoodFree text: I had a sore throat about 2-3 weeks ago and got a PCR done at the time which was negative. Also had a gal bladder attack in June.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
-
2021-08-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: Ive had rt. arm pain and ROM issues since before shot which I believe to be related to RSI as a case interviewer or possibly long Covid from Aug. Rt Arm worse lately - I stopped NSAIDS to improve vaccine response. Shots were in left arm.
Release 4 — day 21, dose 2
Symptoms: My right arm is worse (not the side where I got shots, probably not related to the shot)
Release 9 — 6 months, dose 2
Symptoms: I had a sore throat about 2-3 weeks ago and got a PCR done at the time which was negative. Also had a gal bladder attack in June.
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 | Gallbladder disorder | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release