6RX-33127-34258
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 674 / KS
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Faeces soft, Frequent bowel movements — Feeling: GoodFree text: No diarrhea, but stools have been very soft since injection, and I was having BMs after each meal. I did not know if it was what I ate or the vaccination. I stoppef taking my daily 1/2 cap of Miralax and 1 capsule of Colace on Thursday, and the stools are firmer, but not quite back to normal. I am also not having a BM after each meal. I just see how it goes each day. It has not caused me to change my life style in any way.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: I am doing OK, I just do not feel quite like my old self.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Head pain in different places on the right side of my head (above right occipital lobe and on top of head) at different times of day and night. I have seen my PCP and have tried a muscle relaxer; I have a head MRI scheduled on 8-26-21. · Healthcare visit (other): PCP's officeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-08-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-25
Survey response — 12 months, dose 2MedDRA: Occipital neuralgia, Pain — Feeling: GoodFree text: I was diagnosed with occipital neuralgial late in September. I was given an injection to assist with the pain. I completed this same report two days ago.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No diarrhea, but stools have been very soft since injection, and I was having BMs after each meal. I did not know if it was what I ate or the vaccination. I stoppef taking my daily 1/2 cap of Miralax and 1 capsule of Colace on Thursday, and the stools are firmer, but not quite back to normal. I am also not having a BM after each meal. I just see how it goes each day. It has not caused me to change my life style in any way.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I am doing OK, I just do not feel quite like my old self.
Release 9 — 6 months, dose 2
Symptoms: Head pain in different places on the right side of my head (above right occipital lobe and on top of head) at different times of day and night. I have seen my PCP and have tried a muscle relaxer; I have a head MRI scheduled on 8-26-21.
Healthcare visit (other): PCP's office
Release 11 — 12 months, dose 2
Symptoms: I was diagnosed with occipital neuralgial late in September. I was given an injection to assist with the pain. I completed this same report two days ago.
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 | Headache | ✓ | · | ✓ |
| SD | Occipital neuralgia | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release