6NN-22199-01147
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 190 / PA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Mild burning around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: Reddened area on the arm where injection was given. First noticed 1/6. Small, red, swollen area. Increased in size 1/8 to 6cmx3cm. Not painful, warm, or swollen. Fainter color on 1/9. Gone by 1/11.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
-
2021-01-25
Dose 2 — Moderna
-
2021-01-25
Survey response — day 0, dose 2MedDRA: Oropharyngeal discomfort — Feeling: Good · Site: Pain · ChillsFree text: Had a feeling of pressure in my throat off and on for about 3 hours after dose. No trouble breathing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
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2021-04-28
Pregnancy registry surveyPregnant after vaccination · Yes, I would like someone to contact me
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Office visit, Self-medication, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Generalized hives starting 2 weeks after booster shot. Been needing to take daily Zyrtec to prevent them. · Healthcare visit (other): Went to an allergistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild burning around injection site
Release 1 — day 14, dose 1
Symptoms: Reddened area on the arm where injection was given. First noticed 1/6. Small, red, swollen area. Increased in size 1/8 to 6cmx3cm. Not painful, warm, or swollen. Fainter color on 1/9. Gone by 1/11.
Release 2 — day 0, dose 2
Systemic reaction (other): Had a feeling of pressure in my throat off and on for about 3 hours after dose. No trouble breathing.
Release 11 — 12 months, dose 2
Symptoms: Generalized hives starting 2 weeks after booster shot. Been needing to take daily Zyrtec to prevent them.
Healthcare visit (other): Went to an allergist
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release