6T9-87220-44557
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 038 / NH
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
- 2021-02-17
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 1MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezing, rare coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Dose 2 — Moderna
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Nausea, Vomiting · Be unable to workAdult check-in
- 2021-03-18
- 2021-03-20
- 2021-03-23
-
2021-03-29
Survey response — day 14, dose 2MedDRA: Nausea, Vomiting — Feeling: FairFree text: Nausea with a little vomiting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-14
Survey response — day 28, dose 2MedDRA: Multiple sclerosis, Muscle spasticity, Pre-existing disease — Feeling: FairFree text: Increase in spasticity, secondary to MS.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 35, dose 2MedDRA: Constipation, Nausea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Nausea & vomiting.Increased spasticity and spasms in the are of my liver.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-26
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Muscle spasms, Nausea, Office visit, Renal failure, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Nausea, some vomiting & stomach discomfort. Also increased spasms /Charlie horses. Had blood work done & for first time my kidney function was off. GFR of 36. · Healthcare visit (other): Doc recommended I see my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
- 2021-09-13
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2022-03-15
Survey response — 12 months, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe muscle and joint pain unlike anything I have experienced before. I am taking an aromatase inhibitor and my oncologist ordered a drug holiday. The pain has decreased a lot and I have resumed the aromatase inhibitor.MedDRA releases: 2024-11 · check-in free text available
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2022-03-15
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Runny nose, sneezing, rare coughing
Release 6 — day 14, dose 2
Symptoms: Nausea with a little vomiting.
Release 7 — day 28, dose 2
Symptoms: Increase in spasticity, secondary to MS.
Release 7 — day 35, dose 2
Symptoms: Nausea & vomiting.Increased spasticity and spasms in the are of my liver.
Release 8 — day 42, dose 2
Symptoms: Nausea, some vomiting & stomach discomfort. Also increased spasms /Charlie horses. Had blood work done & for first time my kidney function was off. GFR of 36.
Healthcare visit (other): Doc recommended I see my PCP
Release 11 — 12 months, dose 2
Symptoms: Severe muscle and joint pain unlike anything I have experienced before. I am taking an aromatase inhibitor and my oncologist ordered a drug holiday. The pain has decreased a lot and I have resumed the aromatase inhibitor.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscle spasticity | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Renal failure | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release