6CZ-20061-96985
4 vaccinations
6 coded responses
33 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 032 / NH
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Did feel a bit feverish, checked temp and it eas fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-24
- 2021-03-31
-
2021-04-01
Dose 2 — Moderna
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: My temp is normally 96.9 to 97.2 , so yes i did feel feverish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Insomnia — Feeling: Good · Site: Pain, ItchingFree text: Sleeplessness and i felt feverish but i didn't have a fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Fatigue, Feeling hot, Pruritus — Feeling: FairFree text: Last Friday severe itching on arms, chest and legs. It has gone away. Today i felt feverish but did not have a fever, only fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-11-10
Dose 3 — Moderna
- 2022-04-01
-
2022-04-28
Dose 4 — Moderna
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2022-05-02
- 2022-05-05
-
2022-05-12
Survey response — day 14, dose 4MedDRA: Ear pain, Injection site pain — Feeling: FairFree text: I experience pain and/or aching at the injection site. I skso have an ear svhe today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-28
-
2022-10-27
Survey response — 6 months, dose 4MedDRA: Headache — Feeling: GoodFree text: I seem to get a lot of head aches.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Did feel a bit feverish, checked temp and it eas fine.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My temp is normally 96.9 to 97.2 , so yes i did feel feverish.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeplessness and i felt feverish but i didn't have a fever.
Release 7 — day 14, dose 2
Symptoms: Last Friday severe itching on arms, chest and legs. It has gone away. Today i felt feverish but did not have a fever, only fatigued.
Release 11 — day 14, dose 4
Symptoms: I experience pain and/or aching at the injection site. I skso have an ear svhe today.
Release 12 — 6 months, dose 4
Symptoms: I seem to get a lot of head aches.
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 | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release