6TP-63547-64114
5 vaccinations
2 coded responses
47 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 302 / GA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site reaction, Injection site warmth, Medical counselling, Rash erythematous, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: On 1/26, I developed a red itchy hot oval rash on arm where vaccine had been administered. On 1/27, I went to pharmacist who administered vaccine & was advised to have my MD check my arm. I have letter from MD indicating it to be a localized reaction · Healthcare visit (other): Went to pharmacist who administered vaccine at Publix, Willshire Pavilion, Peachtree City, GA. Went to (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-06-14
- 2021-08-16
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-04
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
-
2022-07-04
Survey response — 3 months, dose 4MedDRA: Cough, Rhinorrhoea, Throat irritation — Feeling: GoodFree text: Runny nose, slight cough, slight scratchy throat 6/20-6/26MedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Dose 5 — Moderna
- 2022-10-03
- 2022-10-15
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: On 1/26, I developed a red itchy hot oval rash on arm where vaccine had been administered. On 1/27, I went to pharmacist who administered vaccine & was advised to have my MD check my arm. I have letter from MD indicating it to be a localized reaction cut off by CDC
Healthcare visit (other): Went to pharmacist who administered vaccine at Publix, Willshire Pavilion, Peachtree City, GA. Went to (b)(6)
redacted (b)(6)
Release 12 — 3 months, dose 4
Symptoms: Runny nose, slight cough, slight scratchy throat 6/20-6/26
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ○ | ○ | ○ |
| SD | Cough | · | · | ✓ |
| SD | Injection site erythema | ○ | ○ | ○ |
| SD | Injection site pruritus | ○ | ○ | ○ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release