6PM-53930-62235
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 307 / GA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activitiesFree text: Pain decreased as day ptogressedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-18
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
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2021-02-24
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Took 2nd shot on 2/9/21. Soreness at shot site a little more and 3 days this time. Brief flashes of pain at site of shot on 5th and 7th days after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 2MedDRA: Fatigue, Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Random pain in left deltoid (inj. Site) still. New yesterday was sudden tiredness from arms and shoulders to top of head that lasted for about 20 min.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Heart rate irregular, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: After 2nd shot in Feb., injection site area red, swollen, hot to touch painful for abt 5 days with intermittant for a longer time. In June I had a CT- Cardiac Calcium Score after irregular heart beats. It was negative. · Healthcare visit (other): Saw my primary careMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
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2022-02-11
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Medical counselling, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Omicron with cough that lasted 2+ wks · Healthcare visit (other): Called MD office inhaler and cough med ordered. Strep swab done later for continued sore throat -negMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
3 call center cases
2 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain decreased as day ptogressed
Release 4 — day 14, dose 2
Symptoms: Took 2nd shot on 2/9/21. Soreness at shot site a little more and 3 days this time. Brief flashes of pain at site of shot on 5th and 7th days after.
Release 4 — day 21, dose 2
Symptoms: Random pain in left deltoid (inj. Site) still. New yesterday was sudden tiredness from arms and shoulders to top of head that lasted for about 20 min.
Release 9 — 6 months, dose 2
Symptoms: After 2nd shot in Feb., injection site area red, swollen, hot to touch painful for abt 5 days with intermittant for a longer time. In June I had a CT- Cardiac Calcium Score after irregular heart beats. It was negative.
Healthcare visit (other): Saw my primary care
Release 11 — 12 months, dose 2
Symptoms: Omicron with cough that lasted 2+ wks
Healthcare visit (other): Called MD office inhaler and cough med ordered. Strep swab done later for continued sore throat -neg
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Oropharyngeal pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | · | ✓ |
| SD | Injection site warmth | ✓ | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release