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6S4-16914-77588

2 vaccinations 6 coded responses 18 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
726 / AR
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: I have some fatigue but that is because I did a lot of physical things yesterday and I had two surgeries the week of November 2nd. This level of fatigue is normal for me after a day like yesterday as I am still healing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chemotherapy, General symptom — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I started chemotherapy this past Monday and the above symptoms are on my side effects list.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-14
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Above symptoms are due to starting chemotherapy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-14
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  11. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Chemotherapy, Pre-existing disease, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Im in chemotherapy and have a low anti infection blood Cell count. I got an injection to remedy that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-04
    Dose 2 — Moderna
  14. 2021-02-04
    Survey response — day 28, dose 1
    MedDRA: Chemotherapy — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Due second chemotherapy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Colon operation, Medical counselling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Surgery to reconnect my colon · Healthcare visit (other): Home Health
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  24. 2022-02-07

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): I have some fatigue but that is because I did a lot of physical things yesterday and I had two surgeries the week of November 2nd. This level of fatigue is normal for me after a day like yesterday as I am still healing.

2021-01-13

Systemic reaction (other): I started chemotherapy this past Monday and the above symptoms are on my side effects list.

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Above symptoms are due to starting chemotherapy.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Im in chemotherapy and have a low anti infection blood Cell count. I got an injection to remedy that.

Release 3 — day 28, dose 1

2021-02-04

Symptoms: Due second chemotherapy

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Surgery to reconnect my colon
Healthcare visit (other): Home Health

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
SDChemotherapy ✓ ✓ ✓
SDColon operation · · ✓
SDPre-existing disease ✓ · ✓
SDWhite blood cell count decreased ✓ · ✓
SROChemotherapy ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGeneral symptom ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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