6WU-95974-46387
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 860 / AZ
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Slight soreness at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Slight fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Mild headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Office visit, Palpitations, Tremor — Feeling: Fair · Fever · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Was seen at the dental this morning. Given a double dose of numbing medication with ephrineferin. My heart started to race and had the chills and trembling sensation; stayed near the dental office until sensation stopped; felted fatigued after and took a nap. Had lunch drove home and took a long nap. I feel bettwr now. · Healthcare visit (other): Monitored for 30 minutes; but stayed by the healthcare facility until i felt better and I warmed up and the chills went away. Had lunch and drive home.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-08-09
- 2021-09-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight soreness at the injection site
Systemic reaction (other): Slight fatigue
Systemic reaction (other): Mild headache
Systemic reaction (other): Was seen at the dental this morning. Given a double dose of numbing medication with ephrineferin. My heart started to race and had the chills and trembling sensation; stayed near the dental office until sensation stopped; felted fatigued after and took a nap. Had lunch drove home and took a long nap. I feel bettwr now.
Healthcare visit (other): Monitored for 30 minutes; but stayed by the healthcare facility until i felt better and I warmed up and the chills went away. Had lunch and drive home.
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 | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release