2L6-62132-80238
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
-
2021-03-06
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Swelling, ItchingFree text: Arm feels soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Area near shot feels very sore and tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Area where shot was administered is a little tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-05-15
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Area where shot was give fells sore once in awhile. Almost like a pinch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-03
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Amnesia, Memory impairment — Feeling: GoodFree text: Short memory loss. Ill be on my way to do a task and then completely forget what Im supposed to do, in a span of 15 seconds. It doesnt not happen often but when it does, its very noticeable that I have forgotten what I was going to do.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Arm feels sore
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Area near shot feels very sore and tender
Systemic reaction (other): Area where shot was administered is a little tender.
Release 8 — day 42, dose 2
Symptoms: Area where shot was give fells sore once in awhile. Almost like a pinch.
Release 9 — 6 months, dose 2
Symptoms: Short memory loss. Ill be on my way to do a task and then completely forget what Im supposed to do, in a span of 15 seconds. It doesnt not happen often but when it does, its very noticeable that I have forgotten what I was going to do.
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 | Amnesia | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release