6Q4-19327-70044
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 446 / OH
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
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2021-04-01
Survey response — day 14, dose 1MedDRA: Injection site rash, Rash pruritic — Feeling: GoodFree text: Rash at injection site. About 3inches in diameter. Itches also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: GoodFree text: On about day ten I had a rash and itch at injection site. It slowly grew in size and covered most of upper arm. Itch was about two days and redness and hot for about seven days. Okay now. No other side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-19
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Throat irritation — Feeling: Good · Fatigue or tirednessFree text: Little scratchy throat and tired. Could be allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
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2021-10-14
Survey response — 6 months, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: On Sept 12,2021 my husband and I both had sore throats for about 5 days and a cough for about 10 days. Chest congestion for about three weeks. Did not get tested as we had no other symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Rash at injection site. About 3inches in diameter. Itches also.
Release 7 — day 21, dose 1
Symptoms: On about day ten I had a rash and itch at injection site. It slowly grew in size and covered most of upper arm. Itch was about two days and redness and hot for about seven days. Okay now. No other side effects.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Little scratchy throat and tired. Could be allergies.
Release 10 — 6 months, dose 2
Symptoms: On Sept 12,2021 my husband and I both had sore throats for about 5 days and a cough for about 10 days. Chest congestion for about three weeks. Did not get tested as we had no other symptoms.
Release 11 — 12 months, dose 2
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 | Cough | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release