6AV-26570-85303
4 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 550 / MN
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-07
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Gastroenteritis viral — Feeling: Fair · DiarrheaFree text: I think I may have picked up some intestinal flu bug, as my daughter has it too but with more nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Diarrhea · Be unable to workFree text: Don't think due to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-02-26
Survey response — day 7, dose 2MedDRA: Musculoskeletal stiffness, Pain, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: I have aches stiff legs but I have Fibromyalgia so pretty sure that's what it's from.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Body temperature increased, Diarrhoea, Dyspepsia, Food poisoning, Influenza, Lyme disease, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: 2 to 6 this a.m. severe diarhea and vomiting. Had no temp now have 99.0. Alot of heartburn. Work with prek. Stayed home today. Deer tick bite more than a week ago. Flu, lymes, food poisoning not sure. Trying to get better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-20
-
2021-11-19
Dose 3 — Moderna
- 2022-02-19
-
2022-05-14
Dose 4 — Moderna
- 2022-05-15
- 2022-05-16
- 2022-05-18
- 2022-05-20
- 2022-05-28
- 2022-06-04
- 2022-06-11
-
2022-06-20
Survey response — day 35, dose 4MedDRA: Cough, Headache, Peripheral coldness, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Skin warm — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got covid home test positive took on Sunday June 12th. Fever up to 102.6, cough, congestion, headache, hands cold head hot etc...MedDRA releases: 2024-11 · check-in free text available
- 2022-06-25
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I think I may have picked up some intestinal flu bug, as my daughter has it too but with more nausea.
Systemic reaction (other): Don't think due to vaccine.
Release 4 — day 7, dose 2
Systemic reaction (other): I have aches stiff legs but I have Fibromyalgia so pretty sure that's what it's from.
Release 8 — 3 months, dose 2
Symptoms: 2 to 6 this a.m. severe diarhea and vomiting. Had no temp now have 99.0. Alot of heartburn. Work with prek. Stayed home today. Deer tick bite more than a week ago. Flu, lymes, food poisoning not sure. Trying to get better.
Release 12 — day 35, dose 4
Symptoms: Got covid home test positive took on Sunday June 12th. Fever up to 102.6, cough, congestion, headache, hands cold head hot etc...
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Food poisoning | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Lyme disease | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release