6W9-33808-46941
4 vaccinations
8 coded responses
34 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 206 / MD
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site discomfort, Injection site erythema, Injection site induration, Injection site rash, Pain in extremity — Feeling: FairFree text: Arm became sore, large red rash-like area appeared around shot site. Red area was knotted and hard. Red area was about 4 to 5 inches in diameter. Discomfort lasted about 5 days. My arm has now returned to normal. Still slightly sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
-
2021-03-17
Dose 2 — Moderna
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Erythema, Fatigue, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessFree text: Had a low grade fever of 99 one day after second shot with chills and extreme fatigue. Redness at site of shot covered circumference of are to about 6 inches below injection. Better now on 6th day though still quite fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-25
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Considerable fatigue. I am napping at least 2 to 3 times per day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Survey response — day 21, dose 2MedDRA: Axillary pain, Fatigue, Pre-existing disease, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continuing fatigue. Underarm sore and itchy along the scar where lymph nodes were removed. I wonder if having both Moderna shots in arm on side where breast cancer was treated may have triggered side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-23
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intense pain in left hipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — day 42, dose 2MedDRA: Condition aggravated, Neuropathy peripheral, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Active neuropathy in left leg/foot. Experiencing flare up. Wonder if connected to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
- 2021-09-17
-
2021-10-05
Dose 3 — Moderna
- 2021-10-28
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-07
-
2022-04-19
Dose 4 — Moderna
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-28
-
2022-05-03
Survey response — day 14, dose 4MedDRA: Laboratory test abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Positive results from Cologuard TestMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-04
- 2022-05-10
- 2022-05-19
- 2022-05-26
- 2022-05-31
- 2022-07-23
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-05 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Arm became sore, large red rash-like area appeared around shot site. Red area was knotted and hard. Red area was about 4 to 5 inches in diameter. Discomfort lasted about 5 days. My arm has now returned to normal. Still slightly sore.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Had a low grade fever of 99 one day after second shot with chills and extreme fatigue. Redness at site of shot covered circumference of are to about 6 inches below injection. Better now on 6th day though still quite fatigued.
Release 6 — day 14, dose 2
Symptoms: Considerable fatigue. I am napping at least 2 to 3 times per day.
Release 7 — day 21, dose 2
Symptoms: Continuing fatigue. Underarm sore and itchy along the scar where lymph nodes were removed. I wonder if having both Moderna shots in arm on side where breast cancer was treated may have triggered side effects.
Release 7 — day 35, dose 2
Symptoms: Intense pain in left hip
Release 8 — day 42, dose 2
Symptoms: Active neuropathy in left leg/foot. Experiencing flare up. Wonder if connected to vaccine.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): None
Release 11 — day 14, dose 4
Symptoms: Positive results from Cologuard Test
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release