6VA-33731-10132
5 vaccinations
3 coded responses
44 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- 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
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Lymph nodes a bit activated on same side as injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 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
- 2021-08-16
-
2021-10-30
Dose 3 — ModernaCo-administered: Flu
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased, Pyrexia — Feeling: Good · Site: Pain · Chills, Fatigue or tirednessFree text: Low grade fever 12 hours post vaccine for 1.5 days, lower than normal body temp three days post vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
-
2022-04-08
Dose 4 — Moderna
- 2022-04-19
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-10-07
Survey response — 6 months, dose 4MedDRA: COVID-19, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: After flying on July 10 from (b)(6) to (b)(6), OR, I was diagnosed with COVID on July 15; fever for four days, very sore throat (initial symptom), body aches, throat congestion (and extreme fatigue lasting six weeks). Drive thru clinic tested.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Dose 5 — Moderna
- 2023-04-08
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-30 | Moderna | Flu |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-10-31 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph nodes a bit activated on same side as injection site.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Low grade fever 12 hours post vaccine for 1.5 days, lower than normal body temp three days post vaccine.
Release 12 — 6 months, dose 4
Symptoms: After flying on July 10 from (b)(6) to (b)(6), OR, I was diagnosed with COVID on July 15; fever for four days, very sore throat (initial symptom), body aches, throat congestion (and extreme fatigue lasting six weeks). Drive thru clinic tested.
redacted (b)(6)
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release