6XA-11932-65333
5 vaccinations
7 coded responses
56 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
-
2021-03-02
Survey response — day 0, dose 2MedDRA: Muscle tightness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Tightness in neck musclesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Right side neck muscle stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 21, dose 2MedDRA: Arthralgia, Back pain, Chills, Fatigue, Injection site pain, Myalgia, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Pain at vaccination site and shoulder, chills, muscle ache in back, increased post nasal drip, slight sore throat and tiredness. It was all mild. It lasted 2-3 hours on 3/18/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-06-01
Survey response — 3 months, dose 2MedDRA: Balance disorder, Loss of personal independence in daily activities, Office visit, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo for past 2 weeks. Still having problems with balance and cant drive safely. · Healthcare visit (other): In person visit to doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-01
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-10-04
Dose 3 — Moderna
- 2021-10-27
- 2021-11-01
-
2021-11-08
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Sneezing, Upper-airway cough syndrome — Feeling: FairFree text: I have a cold: occasional sneezing, post nasal drip, occasional mild sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2022-01-03
- 2022-04-04
- 2022-04-07
-
2022-06-02
Dose 4 — Moderna
-
2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-12
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-14
-
2022-09-01
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid with mild symptoms that lasted about 7 days. Some symptoms still seem to come for a few hours- all of this is very mild.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Dose 5 — Moderna
-
2022-11-07
Survey response — day 0, dose 5MedDRA: Dry skin, Flushing, Lip dry — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Skin around my lips and lips are very dry. Cheeks are flushed.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-11-09
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-11-10
- 2022-11-11
- 2022-11-12
-
2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-20
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-04 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
| 5 | 2022-11-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Tightness in neck muscles
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Right side neck muscle stiffness
Release 6 — day 21, dose 2
Symptoms: Pain at vaccination site and shoulder, chills, muscle ache in back, increased post nasal drip, slight sore throat and tiredness. It was all mild. It lasted 2-3 hours on 3/18/21.
Release 8 — 3 months, dose 2
Symptoms: Vertigo for past 2 weeks. Still having problems with balance and cant drive safely.
Healthcare visit (other): In person visit to doctor.
Release 10 — day 35, dose 3
Symptoms: I have a cold: occasional sneezing, post nasal drip, occasional mild sore throat.
Release 12 — 3 months, dose 4
Symptoms: Covid with mild symptoms that lasted about 7 days. Some symptoms still seem to come for a few hours- all of this is very mild.
Release 12 — day 0, dose 5
Systemic reaction (other): Skin around my lips and lips are very dry. Cheeks are flushed.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Dry skin | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Lip dry | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release