6S2-26904-56539
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 681 / NE
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XTZ-22142-52000
Child or adolescent in my care · Male · 2021-08-13
Timeline
-
2020-12-22
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2021-01-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Large red itchy patch at site of vaccination, Rt deltoid, on days 9, 10, 11. Redness is gone now, but the area will still occasionally itch, especially with movement/exercise/increased heat, such as after shower.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
-
2021-01-16
Dose 2 — Moderna
-
2021-01-16
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-16
Report sent to call center — day 0, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-08
- 2021-02-13
-
2021-02-22
Survey response — day 35, dose 2MedDRA: Myalgia, Oropharyngeal pain — Feeling: FairFree text: Sore throat, muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-04-20
Survey response — 3 months, dose 2MedDRA: Flank pain, Unevaluable event, Urine analysis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had intermittent, bilateral flank pain for 3-4 weeks in February/early March. I did a UA; the pain did not appear to be r/t UTI, no hematuria or any other findings on UA. · Healthcare visit (other): Did a UA at workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-10
Call successfulCompleted over the phone
- 2021-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-16 | Moderna |
Call center
3 call center cases
1 successful · 2 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 14, dose 1
Symptoms: Large red itchy patch at site of vaccination, Rt deltoid, on days 9, 10, 11. Redness is gone now, but the area will still occasionally itch, especially with movement/exercise/increased heat, such as after shower.
Release 4 — day 35, dose 2
Symptoms: Sore throat, muscle aches
Release 7 — 3 months, dose 2
Symptoms: I had intermittent, bilateral flank pain for 3-4 weeks in February/early March. I did a UA; the pain did not appear to be r/t UTI, no hematuria or any other findings on UA.
Healthcare visit (other): Did a UA at work
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 | Unevaluable event | ✓ | · | ✓ |
| HCVO | Urine analysis | ○ | ✓ | ○ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release