6VV-23789-27177
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 775 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: PainFree text: Just some stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Had a sore throat last night. It was better this morning though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Rash macular — Feeling: GoodFree text: I have had some spots on my lower back that look like any bites. I havent gotten into any ants so dont know what it is but there are quite a few spots so thought I would mention. They dont hurt. They dont itch. I just dont know what it is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
-
2021-04-16
Survey response — day 7, dose 2MedDRA: Herpes zoster, Rash, Unevaluable event — Feeling: Good · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): I went to the dr today for the rash I mentioned a few days ago and was told it was shingles. · Healthcare visit (other): The rash was not looking any better so thought I should get it checked. No pain a little itchy, She said it was shingles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-10
- 2022-02-28
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Just some stiffness
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Had a sore throat last night. It was better this morning though.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have had some spots on my lower back that look like any bites. I havent gotten into any ants so dont know what it is but there are quite a few spots so thought I would mention. They dont hurt. They dont itch. I just dont know what it is.
Release 7 — day 7, dose 2
Systemic reaction (other): I went to the dr today for the rash I mentioned a few days ago and was told it was shingles.
Healthcare visit (other): The rash was not looking any better so thought I should get it checked. No pain a little itchy, She said it was shingles.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release