6UE-12054-41660
5 vaccinations
10 coded responses
65 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
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2021-03-16
Survey response — day 0, dose 1MedDRA: Injection site pain, Injection site warmth — Feeling: GoodFree text: Just a heat/burning feeling at injection sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: ItchingFree text: Stiff neck but not sure if I may have slept wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 21, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff neck forcseveral days nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-22
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Office visit, Self-medication, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have, what I think is a sinus infection. The same day appointment doctor said sinusitis. Have me OTC medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: I just feel "off" today.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Chills, Joint pains, Fatigue or tirednessAdult check-in
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Chills, Fatigue or tirednessAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Itching · Muscle or body achesFree text: yesterday it was a very mild stiff neck. today I have severe pain from a stiff neck.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness, Oropharyngeal pain, Throat irritation — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: stiff neck and sore throat (more like an itch in my throat) like I need/want to coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-02
Survey response — day 7, dose 3MedDRA: Cough, Upper respiratory tract infection — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: I have an upper respiratory infection. Coughing without bringing phlegm out is frustratingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-09
- 2021-11-16
-
2021-11-18
Callback requested for11:30AM ET
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-20
Dose 4 — ModernaCo-administered: Shingles
-
2022-04-20
Survey response — day 0, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: I did get my 1st shingles vaccine today, tooMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
-
2022-04-27
Survey response — day 7, dose 4MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Stiff neck but could be from sleeping wrong?MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-09-14
Dose 5 — ModernaCo-administered: Flu
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2022-09-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-20 | Moderna | Shingles |
| 5 | 2022-09-14 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Just a heat/burning feeling at injection sight
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Stiff neck but not sure if I may have slept wrong
Release 7 — day 21, dose 1
Symptoms: Stiff neck forcseveral days now
Release 8 — day 14, dose 2
Symptoms: I have, what I think is a sinus infection. The same day appointment doctor said sinusitis. Have me OTC meds
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I just feel "off" today.
Systemic reaction (other): yesterday it was a very mild stiff neck. today I have severe pain from a stiff neck.
Systemic reaction (other): stiff neck and sore throat (more like an itch in my throat) like I need/want to cough
Release 10 — day 7, dose 3
Systemic reaction (other): I have an upper respiratory infection. Coughing without bringing phlegm out is frustrating
Release 11 — day 0, dose 4
Systemic reaction (other): I did get my 1st shingles vaccine today, too
Release 11 — day 7, dose 4
Systemic reaction (other): Stiff neck but could be from sleeping wrong?
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 | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release