6YH-31835-53203
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 498 / MI
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
-
2021-03-21
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-27
-
2021-04-02
Survey response — day 21, dose 1MedDRA: Back pain, Dyspnoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, headache (3days now), more short of breath than normal, increased back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Dose 2 — Moderna
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Nothing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Balance impairedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-05-03
- 2021-05-07
- 2021-05-15
- 2021-07-09
- 2021-10-08
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Abdominal pain, Arthralgia, Asthenia, Back pain, Gait disturbance, Hiatus hernia, Nausea, Unevaluable event, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Pain in hips, back, progressive. Not like symptoms related to COVID in my understadin. · Healthcare visit (other): Multiple tests . No two diagnosis same. Abdominal pain, nausea vomiting for past 4-5 months. DCCS hiatal hernia. Walking now like I have had a small stroke, very mild weakness changed from right side to left. No speech problem but an abnormal sw. tMedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: Fatigue, headache (3days now), more short of breath than normal, increased back pain.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Nothing.
Systemic reaction (other): Balance impaired
Release 11 — 12 months, dose 2
Symptoms: Pain in hips, back, progressive. Not like symptoms related to COVID in my understadin.
Healthcare visit (other): Multiple tests . No two diagnosis same. Abdominal pain, nausea vomiting for past 4-5 months. DCCS hiatal hernia. Walking now like I have had a small stroke, very mild weakness changed from right side to left. No speech problem but an abnormal sw. t cut off by CDC
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 | Abdominal pain | · | · | ✓ |
| HCVO | Asthenia | · | · | ✓ |
| HCVO | Gait disturbance | · | · | ✓ |
| HCVO | Hiatus hernia | · | · | ✓ |
| HCVO | Nausea | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| HCVO | Vomiting | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release