6VH-17152-07713
5 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 751 / TX
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-24
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-08
- 2021-04-13
- 2021-06-01
- 2021-08-31
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: The redness at injection sight as gone from quarter size to fifty cent size and now is silver dollar size.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: The itching is sporadic and mild. The redness is now light pink.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Itching · HeadacheFree text: The itching was mild first thing this morning. No itching after that and it's 3:13 PM CDT. Redness is barely pink, but still visible.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-11-15
- 2021-11-22
- 2021-12-01
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Cough, Discharge, Respiratory tract congestion, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, a little wheezing, drainage, coughing, no feverMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-24
-
2022-04-22
Dose 4 — Moderna
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Headache, Muscle or body achesAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-14
Dose 5 — Moderna
- 2022-10-23
-
2022-10-23
Survey response — day 7, dose 5MedDRA: Feeling hot, Flushing, Headache, Injection site pain — Feeling: GoodFree text: 24 hrs after receiving shot, I had a bad headache which I normally do not get along with feeling flushed/feverish, but no fever. Some soreness at injection site. These symptoms lasted about 12 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The redness at injection sight as gone from quarter size to fifty cent size and now is silver dollar size.
Systemic reaction (other): The itching is sporadic and mild. The redness is now light pink.
Systemic reaction (other): The itching was mild first thing this morning. No itching after that and it's 3:13 PM CDT. Redness is barely pink, but still visible.
Release 10 — day 42, dose 3
Symptoms: Congestion, a little wheezing, drainage, coughing, no fever
Release 12 — day 7, dose 5
Systemic reaction (other): 24 hrs after receiving shot, I had a bad headache which I normally do not get along with feeling flushed/feverish, but no fever. Some soreness at injection site. These symptoms lasted about 12 hours.
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 | Cough | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release