6TU-25107-53008
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-07
Dose 1 — Moderna
-
2021-06-02
Dose 2 — Moderna
-
2021-06-05
Registered in v-safe
- 2021-06-05
-
2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: FairFree text: Itching but not the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-08
- 2021-06-11
- 2021-06-18
- 2021-06-23
- 2021-06-30
- 2021-07-09
- 2021-07-16
- 2021-09-02
- 2021-12-01
-
2021-12-02
Dose 3 — Moderna
- 2021-12-02
- 2021-12-03
- 2021-12-04
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-08
-
2022-01-13
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-02 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Itching but not the injection site
Release 10 — day 42, dose 3
Symptoms: Sore throat
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 |
|---|---|---|---|---|
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release