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6SX-13952-48958

4 vaccinations 15 coded responses 41 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
306 / GA
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain
    Free text: No symptons that are abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: No symptoms that aren't abnormal for my compromised gut.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Nothing abnormal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nothing abnormal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: The injection site itches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-02-11
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea, Pain, Pre-existing disease, Self-medication — Feeling: Fair · Muscle or body aches, Nausea
    Free text: The nausea is more than my regular Promethazine can deal with, but might come from the Tylenol I am taking for pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Itching
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Itching
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Itching
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Itching
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Itching
    Free text: Nothing abnormal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-04
    Survey response — day 21, dose 2
    MedDRA: Abdominal distension — Feeling: Fair
    Free text: Stomach seems to stay fuller longer. This may be caused by my compromised gut.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Hypoaesthesia, Office visit, Skin tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: The skin area on my legs is numb from the waist down. The area over my cest was numb for a few days also, but that went away. I saw my doctor. He checked my heart function, but couldn't find anything. My legs feel like i am wearing compression socks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-25
    Dose 3 — Moderna
  27. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  28. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  40. 2022-04-12
    Dose 4 — Moderna
  41. 2022-04-15
    Call successful
    Does not wish to fill out VAERS report
  42. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  43. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  46. 2022-05-10
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  47. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-05-24
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-11Moderna
32021-10-25Moderna No
42022-04-12Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): No symptons that are abnormal.

2021-01-18

Systemic reaction (other): No symptoms that aren't abnormal for my compromised gut.

2021-01-21

Systemic reaction (other): Nothing abnormal

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Nothing abnormal

Release 3 — day 14, dose 1

2021-01-29

Symptoms: The injection site itches.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Nothing abnormal.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): The nausea is more than my regular Promethazine can deal with, but might come from the Tylenol I am taking for pain.

2021-02-13

Systemic reaction (other): Nothing abnormal.

2021-02-14

Systemic reaction (other): Nothing abnormal.

2021-02-15

Systemic reaction (other): Nothing abnormal.

2021-02-16

Systemic reaction (other): Nothing abnormal.

2021-02-17

Systemic reaction (other): Nothing abnormal.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Nothing abnormal.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Stomach seems to stay fuller longer. This may be caused by my compromised gut.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: The skin area on my legs is numb from the waist down. The area over my cest was numb for a few days also, but that went away. I saw my doctor. He checked my heart function, but couldn't find anything. My legs feel like i am wearing compression socks. cut off by CDC

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
SDAbdominal distension ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDOffice visit · · ✓
SDSkin tightness · · ✓
SROAdverse reaction ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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