6XA-16975-14883
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 808 / CO
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
-
2021-03-13
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Felt spacey for a couple of hours, beginning 3 hours after vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Enlarged uvula, Pre-existing disease — Feeling: Good · Site: PainFree text: Yesterday afternoon I had mild to moderate swelling of the uvula, which also happened four years ago when I had an allergic reaction to clindamycin. I'm concerned that maybe I shouldn't get the second shot in case the swelling is worse next time and obstructs my breathing. ??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain, Pain in extremity, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yesterday, woke up with pain in right thigh, from top of knee to mid-thigh. By last night it hurt to walk on it and the pain extended to my upper thigh. I was concerned about a clot. Did a virtual urgent care visit and doc thought it was a simple phlebitis rather than DVT. Have been taking ibuprofen and applying warm heat. Today it doesn't hurt to walk but is still painful when touched.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Mild pain in right thigh, less than yesterday & day before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-12-16
- 2021-12-21
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Felt spacey for a couple of hours, beginning 3 hours after vaccination.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday afternoon I had mild to moderate swelling of the uvula, which also happened four years ago when I had an allergic reaction to clindamycin. I'm concerned that maybe I shouldn't get the second shot in case the swelling is worse next time and obstructs my breathing. ??
Systemic reaction (other): Yesterday, woke up with pain in right thigh, from top of knee to mid-thigh. By last night it hurt to walk on it and the pain extended to my upper thigh. I was concerned about a clot. Did a virtual urgent care visit and doc thought it was a simple phlebitis rather than DVT. Have been taking ibuprofen and applying warm heat. Today it doesn't hurt to walk but is still painful when touched.
Systemic reaction (other): Mild pain in right thigh, less than yesterday & day before.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Enlarged uvula | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release