6XE-15674-94979
5 vaccinations
13 coded responses
54 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Moderna
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Joint effusion, Limb mass — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Left arm elbow has a large lump of fluidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Joint effusion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Effusion in elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Joint effusion — Feeling: GoodFree text: Effusion in elbow continuedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Bursitis, Discharge — Feeling: GoodFree text: Just elbow fluidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling — Feeling: GoodFree text: Still fluid in elbow of arm of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 7, dose 1MedDRA: Joint effusion, Joint swelling — Feeling: GoodFree text: Same fluid on elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
-
2021-03-12
Dose 2 — Moderna
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Eye irritation — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning sensation in legs & eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-27
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-14
- 2021-08-05
- 2021-08-10
- 2021-09-12
-
2021-10-28
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Burning sensation, Fatigue, Pain — Feeling: GoodFree text: Today, fine. The day after the shot was awful. Aches, pains, exhausted, and burning sensation in my legs & feerMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-06
- 2021-11-18
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tired & nauseusMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Influenza virus test, Respiratory syncytial virus infection, Respiratory syncytial virus test positive, SARS-CoV-2 test, Viral upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: RSV diagnosis for severe upper respiratory virus · Healthcare visit (other): VA Hospital tested husband (with same symptoms) for Covid, Flu & positive for RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-28
- 2022-04-28
-
2022-05-18
Dose 4 — Moderna
-
2022-05-19
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature decreased, Feeling cold, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Freezing cold before fever. Temp 96MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-08-17
-
2022-10-27
Dose 5 — Moderna
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Burning sensation, Inflammation — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Inflammation from waste to toes. BurningMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-12-02
- 2022-12-08
-
2023-04-27
Survey response — 6 months, dose 5MedDRA: Neuropathy peripheral, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-27
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-28
- 2023-04-28
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Left arm elbow has a large lump of fluid
Systemic reaction (other): Effusion in elbow
Systemic reaction (other): Effusion in elbow continued
Systemic reaction (other): Just elbow fluid
Systemic reaction (other): Still fluid in elbow of arm of vaccine
Release 4 — day 7, dose 1
Systemic reaction (other): Same fluid on elbow
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Burning sensation in legs & eyes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Today, fine. The day after the shot was awful. Aches, pains, exhausted, and burning sensation in my legs & feer
Release 10 — day 28, dose 3
Symptoms: Tired & nauseus
Release 11 — 3 months, dose 3
Symptoms: RSV diagnosis for severe upper respiratory virus
Healthcare visit (other): VA Hospital tested husband (with same symptoms) for Covid, Flu & positive for RSV
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Freezing cold before fever. Temp 96
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Inflammation from waste to toes. Burning
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 | Influenza virus test | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Respiratory syncytial virus test positive | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Bursitis | ✓ | · | ✓ |
| SRO | Discharge | ○ | ✓ | ○ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Inflammation | · | · | ✓ |
| SRO | Joint effusion | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Limb mass | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release