6XJ-74292-78087
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 454 / OH
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
-
2021-01-25
Survey response — day 28, dose 1MedDRA: Abdominal pain upper, Diarrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diarrhea, stomach cramping, (resolved in 24 hours, Covid test negative, thought to be gastro bug related)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Report sent to call center — day 28, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-01
-
2021-02-04
Dose 2 — Moderna
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Chills, Diarrhoea, Fatigue, Injection site pain, Nausea, Pain, Peripheral swelling, Pyrexia, Vomiting — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Full 24-48+ hours after injection, severe body aches and pain, felt feverish but no fever, chills, diarrhea, abdominal pain, vomiting, nausea, severe fatigue, arm very swollen, very painful at site of injection. No side effects other than sore arm, much less severe with 1st shot, second shot was brutal. Most symptoms have resolved as of today, aside from minor body aches, arm minimally still sore, some fatigue, some diarrhea this AM but seems to have resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 2MedDRA: Office visit, Rash, Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Rash hives (thought by ER stress related) · Healthcare visit (other): Pcp office visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
- 2021-06-03
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 28, dose 1
Symptoms: Diarrhea, stomach cramping, (resolved in 24 hours, Covid test negative, thought to be gastro bug related)
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Full 24-48+ hours after injection, severe body aches and pain, felt feverish but no fever, chills, diarrhea, abdominal pain, vomiting, nausea, severe fatigue, arm very swollen, very painful at site of injection. No side effects other than sore arm, much less severe with 1st shot, second shot was brutal. Most symptoms have resolved as of today, aside from minor body aches, arm minimally still sore, some fatigue, some diarrhea this AM but seems to have resolved
Release 4 — day 14, dose 2
Symptoms: Rash hives (thought by ER stress related)
Healthcare visit (other): Pcp office visits
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release