6DD-15616-83984
5 vaccinations
9 coded responses
64 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 958 / CA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
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2021-02-06
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · NauseaFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Good · Site: Pain · ChillsFree text: Cramps in my hands; Im crocheting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose decreased, Diabetes mellitus, Endocrine disorder, Pre-existing disease — Feeling: Good · Site: RednessFree text: Im diabetic and have had 2 low sugar episodes since Feb 6. Am keeping a 4 day record of food. I have an appointment in endocrinology on 3/12.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Therapeutic response unexpected — Feeling: Good · Site: RednessFree text: I have extra energy and am looking at my world through rose-colored glasses. Im happy!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose decreased, Cold sweat, Nervousness — Feeling: Good · Site: ItchingFree text: Did not report low sugar episode 34 hours after injection. Low of 45. Took 15 carbs, checked 15 min later and reached 73. Was shaky and clammy for a short time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 35, dose 2MedDRA: Vomiting — Feeling: GoodFree text: I vomited on Thursday. A one-time event. I felt good; I still feel good. No fever (97.7). Oxygen was 97.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-06-05
- 2021-09-04
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2021-10-22
Dose 3 — Moderna
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Diarrhoea, Gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had gastric problems for 2 days. I did 12 hours liquids, 12 hours pretzels, saltines; 24 hours rice Chex, rice, toast, applesauce, baked potato; 24 hours baked, boiled or broiled. Diarrhea ended after 1st day. This is 5th day and I'm feeling good.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
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2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
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2022-05-20
Survey response — day 35, dose 4MedDRA: Arthralgia, Pain in extremity, Pyrexia, Sensitive skin — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Was given a tetanus shot and a shot to prevent shingles. Had low grade fever 24 hours; joint pain, aching legs and sensitive skin. Spent a quiet day and feel better today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-07-15
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2022-10-10
Dose 5 — Moderna
- 2022-10-10
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2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
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2022-10-24
Survey response — day 14, dose 5MedDRA: Headache — Feeling: GoodFree text: Frequent headaches. More often than usual.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): None
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Cramps in my hands; Im crocheting.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Im diabetic and have had 2 low sugar episodes since Feb 6. Am keeping a 4 day record of food. I have an appointment in endocrinology on 3/12.
Systemic reaction (other): I have extra energy and am looking at my world through rose-colored glasses. Im happy!
Systemic reaction (other): Did not report low sugar episode 34 hours after injection. Low of 45. Took 15 carbs, checked 15 min later and reached 73. Was shaky and clammy for a short time.
Release 7 — day 35, dose 2
Symptoms: I vomited on Thursday. A one-time event. I felt good; I still feel good. No fever (97.7). Oxygen was 97.
Release 10 — day 14, dose 3
Symptoms: Had gastric problems for 2 days. I did 12 hours liquids, 12 hours pretzels, saltines; 24 hours rice Chex, rice, toast, applesauce, baked potato; 24 hours baked, boiled or broiled. Diarrhea ended after 1st day. This is 5th day and I'm feeling good. cut off by CDC
Release 11 — day 35, dose 4
Symptoms: Was given a tetanus shot and a shot to prevent shingles. Had low grade fever 24 hours; joint pain, aching legs and sensitive skin. Spent a quiet day and feel better today.
Release 12 — day 14, dose 5
Symptoms: Frequent headaches. More often than usual.
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | · | ✓ |
| SRO | Endocrine disorder | ○ | ✓ | ○ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release