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6TV-24313-13682

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
275 / NC
Registered
2021-04-09
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-15
    Dose 2 — Moderna
  8. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Muscle strain, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I had felt very chilly for 2 days after 2nd dose. I had about 101 fever for 2 days post 2nd dose. I had severe muscle/nerve pulling back of upper thigh the night of vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-15
    Survey response — 6 months, dose 2
    MedDRA: Chest discomfort, Dyspnoea, Immunisation reaction, Lymph node pain, Lymphadenopathy, Neuralgia, Office visit, Pain, Palpitations — Feeling: Poor · 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Enlarged lymph nodes, MRI, CT Ultrasound to assess reason of lymph node pain. Lymph node biopsy, Heart pain, heavy heart like feeling, nerve pain in upper body. Difficulty breathing, · Healthcare visit (other): Multiple radiologist, breast surgeon consult to figure out root cause of pain. Per surgeon, COVID Vaccine related side effects...
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-15
    Report sent to call center — 6 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
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2021-11-17
  18. 2022-05-15
    Survey response — 12 months, dose 2
    MedDRA: Chest pain, Dyspnoea, Glucose tolerance impaired, Lymph node pain, Oedema peripheral, Peripheral swelling, Urine abnormality — Feeling: Poor · 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Lymph node pain/underarm/chest pain exacerbated by stress, normal physical activity, continuously cloudy urine, have prediabetes (A1C 5.6 ) moving faster towards diabetes. Frequent edema/swelling in both feet, frequently short of breath...
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-15
    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
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-05-17
    Call successful
    Does not wish to fill out VAERS report
  21. 2022-05-17
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-15Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): I had felt very chilly for 2 days after 2nd dose. I had about 101 fever for 2 days post 2nd dose. I had severe muscle/nerve pulling back of upper thigh the night of vaccination.

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: Enlarged lymph nodes, MRI, CT Ultrasound to assess reason of lymph node pain. Lymph node biopsy, Heart pain, heavy heart like feeling, nerve pain in upper body. Difficulty breathing,
Healthcare visit (other): Multiple radiologist, breast surgeon consult to figure out root cause of pain. Per surgeon, COVID Vaccine related side effects...

Release 11 — 12 months, dose 2

2022-05-15

Symptoms: Lymph node pain/underarm/chest pain exacerbated by stress, normal physical activity, continuously cloudy urine, have prediabetes (A1C 5.6 ) moving faster towards diabetes. Frequent edema/swelling in both feet, frequently short of breath...

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
HCVOImmunisation reaction · · ✓
HCVOOffice visit · · ✓
HCVOPain · · ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SDDyspnoea · · ✓
SDGlucose tolerance impaired · · ✓
SDLymph node pain · · ✓
SDLymphadenopathy · · ✓
SDNeuralgia · · ✓
SDOedema peripheral · · ✓
SDPalpitations · · ✓
SDPeripheral swelling · · ✓
SDUrine abnormality · · ✓
SROChills ✓ ✓ ✓
SROMuscle strain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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