6W6-14899-81210
5 vaccinations
5 coded responses
14 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Rash — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I do have a rash at various places on my body but I think its from the poison oak reaction Im having from an exposure on 2/15/2021 · Healthcare visit (other): I had an appt with my dermatologist because of my poison oak reaction and received a cortisone shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Dermatitis contact, Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe Poison oak rash · Healthcare visit (other): Visited dermatologists officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dermatitis contact — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Again, I have had a severe Poison Oak rash for 1.5 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 7, dose 2MedDRA: Adverse reaction, Office visit, Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe · Healthcare visit (other): In officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-18
- 2021-03-22
- 2021-08-23
- 2021-09-02
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2022-01-06
Dose 3 — Moderna
- 2022-02-22
-
2022-05-26
Dose 4 — Moderna
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2022-06-23
Survey response — day 28, dose 4MedDRA: Asthenia, Fatigue, SARS-CoV-2 test positive, Upper respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Itested pisitive for covid june 21 2022. Fatigue, upper respiratory congestion. Today my energy is better.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
- 2022-07-07
-
2022-10-22
Dose 5 — ModernaCo-administered: Flu
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2022-01-06 | Moderna | No |
| 4 | 2022-05-26 | Moderna | No |
| 5 | 2022-10-22 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I do have a rash at various places on my body but I think its from the poison oak reaction Im having from an exposure on 2/15/2021
Healthcare visit (other): I had an appt with my dermatologist because of my poison oak reaction and received a cortisone shot.
Systemic reaction (other): Severe Poison oak rash
Healthcare visit (other): Visited dermatologists office
Systemic reaction (other): Again, I have had a severe Poison Oak rash for 1.5 weeks.
Release 5 — day 7, dose 2
Release 12 — day 28, dose 4
Symptoms: Itested pisitive for covid june 21 2022. Fatigue, upper respiratory congestion. Today my energy is better.
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Asthenia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dermatitis contact | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | · | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release