6VW-15784-97217
4 vaccinations
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 759 / TX
- Registered
- 2022-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7HR-32904-39547
Child or adolescent in my care · Female · 2022-01-07
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-02-01
Dose 2 — Moderna
-
2021-08-25
Dose 3 — Moderna
-
2022-01-07
Registered in v-safe
- 2022-02-23
-
2022-04-05
Dose 4 — Moderna
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Pain — Feeling: GoodFree text: I did have body aches that hit me quickly on April 6th the following day after Vaccine#4 but that was it those subsided within the next 24hrsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
-
2022-04-26
Survey response — day 21, dose 4MedDRA: Body temperature increased, Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Cold like symptoms only I think it's all pollen driven Couldn't wait for Spring to be sprung and ugh, I've been knocked down with a Spring cold. Low grade temp and congestion. Have not COVID testedMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: FairFree text: Still trying to knock whatever cold this is I have. I don't think it's related to COVID at allMedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-17
-
2022-10-04
Survey response — 6 months, dose 4MedDRA: Medical counselling, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Sore throat, temp, body aches · Healthcare visit (other): My husband is a physician and I took PaxlovidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-10-05
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | No |
| 2 | 2021-02-01 | Moderna | No |
| 3 | 2021-08-25 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 7, dose 4
Systemic reaction (other): I did have body aches that hit me quickly on April 6th the following day after Vaccine#4 but that was it those subsided within the next 24hrs
Release 11 — day 21, dose 4
Symptoms: Cold like symptoms only I think it's all pollen driven Couldn't wait for Spring to be sprung and ugh, I've been knocked down with a Spring cold. Low grade temp and congestion. Have not COVID tested
Release 11 — day 28, dose 4
Symptoms: Still trying to knock whatever cold this is I have. I don't think it's related to COVID at all
Release 12 — 6 months, dose 4
Symptoms: Sore throat, temp, body aches
Healthcare visit (other): My husband is a physician and I took Paxlovid
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 | Medical counselling | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release