6W9-32755-09028
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-01-01
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-04
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-06
Health check-in — day 7, dose 1Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-12
Survey response — day 14, dose 1MedDRA: COVID-19, Cough, Dyspnoea, Influenza, Pneumonia, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: I have pneumonia on top of Covid 19 and the flu. Lots and f cough shortness of breath. Highèr fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-19
- 2021-01-27
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 35, dose 2MedDRA: Anaphylactic reaction, Lymphadenopathy, Medical counselling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My lymph nodes in the outer right edges of my right breast have enlarged slightly. My doctor is recommending a second opinion and a possible biopsy. Radiologist felt they were benign and. Reaction to the Covid vaccine. He wants to see me in 6 months. · Healthcare visit (other): A general surgeon for a second opinion and possible biopsy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-05-04
- 2021-05-25
- 2021-08-03
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
4 call center cases
1 unsuccessful · 3 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 14, dose 1
Symptoms: I have pneumonia on top of Covid 19 and the flu. Lots and f cough shortness of breath. Highèr fever.
Release 5 — day 35, dose 2
Symptoms: My lymph nodes in the outer right edges of my right breast have enlarged slightly. My doctor is recommending a second opinion and a possible biopsy. Radiologist felt they were benign and. Reaction to the Covid vaccine. He wants to see me in 6 months. cut off by CDC
Healthcare visit (other): A general surgeon for a second opinion and possible biopsy.
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 | ✓ | ✓ | ✓ |
| SD | Anaphylactic reaction | ✓ | ✓ | ○ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release