6BZ-16405-22509
5 vaccinations
13 coded responses
46 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 240 / VA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Moderna
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2021-01-29
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Fair · Fatigue or tirednessFree text: Mild headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
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2021-03-05
Dose 2 — Moderna
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2021-03-05
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Im diabetic,sugar spike 328 half and hour after shot,its now under console its down 119MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sugar was elevated but is better todayMedDRA 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 2MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Im a diabetic readings are betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Anxiety — Feeling: GoodFree text: I just have anxiety and at times it gets worseI worry a lot about to many things going on. Thats allMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-11
Dose 3 — Moderna
- 2022-03-05
-
2022-05-14
Dose 4 — Moderna
- 2022-06-03
- 2022-06-04
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2022-06-11
Survey response — day 28, dose 4MedDRA: Exposure to communicable disease, Gastroenteritis viral, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I picked up a stomach bug from my son which made me sick .MedDRA releases: 2024-11 · check-in free text available
- 2022-06-18
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2022-06-25
Survey response — day 42, dose 4MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have vertigoMedDRA releases: 2024-11 · check-in free text available
- 2022-08-13
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2022-10-20
Dose 5 — Moderna
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2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Throat felt sore but not today.MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-11
- 2022-11-17
- 2022-11-24
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2022-12-01
Survey response — day 42, dose 5MedDRA: Tooth extraction — Feeling: GoodFree text: I had a tooth removed by an oral surgeon.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-19
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2023-04-20
Survey response — 6 months, dose 5MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
| 5 | 2022-10-20 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Mild headache
Release 5 — day 0, dose 2
Systemic reaction (other): Im diabetic,sugar spike 328 half and hour after shot,its now under console its down 119
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sugar was elevated but is better today
Systemic reaction (other): Im a diabetic readings are better
Systemic reaction (other): None
Release 9 — 6 months, dose 2
Symptoms: I just have anxiety and at times it gets worseI worry a lot about to many things going on. Thats all
Release 12 — day 28, dose 4
Symptoms: I picked up a stomach bug from my son which made me sick .
Release 12 — day 42, dose 4
Symptoms: I have vertigo
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): Throat felt sore but not today.
Release 12 — day 42, dose 5
Symptoms: I had a tooth removed by an oral surgeon.
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 | Anxiety | ✓ | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Tooth extraction | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release