6B8-84547-89988
3 vaccinations
8 coded responses
25 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Registered in v-safe
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2021-04-17
Dose 1 — Moderna
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2021-04-17
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Tingling in the vein above my middle finger where they do IVMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Lethargy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Very lethargic during the 8-22 hours after vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Sinus pain — Feeling: Good · Site: ItchingFree text: Sinus achingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I feel great! I dont know if it is the peace of mind that I have a vaccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Feeling great!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-08
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2021-05-15
Dose 2 — Moderna
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2021-05-15
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I do not believe I got the vaccine. The woman stick the needle in my arm, then pull it out and put on a bandage. She was chatting with the person directing the seating traffic and appeared distracted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen limp-nodes in arm pit of the injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen limp-nodes in the armpit of the injected arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-23
- 2021-05-31
- 2021-06-06
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-08-15
- 2021-11-13
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2022-01-11
Dose 3 — Moderna
- 2022-07-12
- 2023-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna | |
| 3 | 2022-01-11 | Moderna | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Tingling in the vein above my middle finger where they do IV
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Very lethargic during the 8-22 hours after vaccinated
Systemic reaction (other): Sinus aching
Systemic reaction (other): I feel great! I dont know if it is the peace of mind that I have a vaccine shot.
Release 7 — day 7, dose 1
Systemic reaction (other): Feeling great!
Release 8 — day 0, dose 2
Systemic reaction (other): I do not believe I got the vaccine. The woman stick the needle in my arm, then pull it out and put on a bandage. She was chatting with the person directing the seating traffic and appeared distracted.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen limp-nodes in arm pit of the injection arm.
Systemic reaction (other): Swollen limp-nodes in the armpit of the injected arm.
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 |
|---|---|---|---|---|
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release