6YT-56269-19886
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 411 / KY
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort — Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Discomfort in my left shoulder. Specifically under the left clavicleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal pain, Neck pain — Feeling: Fair · Joint pains · Be unable to workFree text: Yesterday i said pain under clavicle- i meant shoulder blade and pain remains today along with some neck pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Nodule, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a large knot come up on my neck. Very sore painful. I saw my doctor and was given antibiotics. It has reduced in size but is still sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-13
-
2021-05-15
Survey response — 3 months, dose 1MedDRA: Blood lactic acid increased, Blood potassium decreased, Brain fog, Malaise, Migraine, Pain, Tremor — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had brain fog. Migriane headaches. Found that i had Covid 19 in the past. Lactic acid was extremely high. Pain. shakes. Potassium was low. Very sick for about 5 weeks. Now getting better but still have problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-17
Call successfulCompleted over the phone
- 2021-08-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Discomfort in my left shoulder. Specifically under the left clavicle
Systemic reaction (other): Yesterday i said pain under clavicle- i meant shoulder blade and pain remains today along with some neck pain.
Release 4 — day 14, dose 1
Symptoms: I had a large knot come up on my neck. Very sore painful. I saw my doctor and was given antibiotics. It has reduced in size but is still sore.
Release 8 — 3 months, dose 1
Symptoms: I have had brain fog. Migriane headaches. Found that i had Covid 19 in the past. Lactic acid was extremely high. Pain. shakes. Potassium was low. Very sick for about 5 weeks. Now getting better but still have problems
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 |
|---|---|---|---|---|
| SD | Blood lactic acid increased | ✓ | ✓ | ✓ |
| SD | Blood potassium decreased | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release