6F8-10309-89407
3 vaccinations
6 coded responses
30 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Registered dependents
SQP-31092-49330
Adult relative or friend · Male · 2021-12-08
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 2 — Moderna
-
2021-04-11
Health check-in — day 0, dose 2Feeling: Fair · Chills, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaFree text: Yesterday fever 101.8. Heartrate 93. Today no fever. Heartrate 60.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-11
- 2021-05-16
- 2021-05-23
- 2021-07-11
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2021-10-10
Survey response — 6 months, dose 2MedDRA: Cough, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: I have had a cough and runny nose for 2 1/2 weeks. No fever or aches. Not sure if allergies or just a cold.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Dose 3 — Moderna
- 2021-12-08
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · Muscle or body achesFree text: Soreness at booster site. No body aches.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-22
- 2021-12-29
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2022-01-05
Survey response — day 28, dose 3MedDRA: Hypoaesthesia, Poor peripheral circulation — Feeling: GoodFree text: Both hands & forearms feel like they fall asleep. They go back to normal if i move them around. Both ankles & calves feel like they have bad circulation, especially at night when i am in bed. Takes longer for them to feel normal.MedDRA releases: 2024-11 · check-in free text available
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2022-01-12
Survey response — day 35, dose 3MedDRA: Arthralgia, Pain in extremity, Sensory disturbance — Feeling: GoodFree text: Calf, ankle, and wrist pain. Feels like not enough circulation in my calves. Wrist pain feels like inflammed tendon or arthritis.MedDRA releases: 2024-11 · check-in free text available
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2022-01-19
Survey response — day 42, dose 3MedDRA: Arthralgia, Pre-existing disease, Unevaluable event — Feeling: GoodFree text: Both wrists and both ankles sore like arthritis is acting up. I flammation in joints? Covid booster or old age?MedDRA releases: 2024-11 · check-in free text available
- 2022-03-09
- 2022-06-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-11 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday fever 101.8. Heartrate 93. Today no fever. Heartrate 60.
Release 10 — 6 months, dose 2
Symptoms: I have had a cough and runny nose for 2 1/2 weeks. No fever or aches. Not sure if allergies or just a cold.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness at booster site. No body aches.
Release 10 — day 28, dose 3
Symptoms: Both hands & forearms feel like they fall asleep. They go back to normal if i move them around. Both ankles & calves feel like they have bad circulation, especially at night when i am in bed. Takes longer for them to feel normal.
Release 10 — day 35, dose 3
Symptoms: Calf, ankle, and wrist pain. Feels like not enough circulation in my calves. Wrist pain feels like inflammed tendon or arthritis.
Release 10 — day 42, dose 3
Symptoms: Both wrists and both ankles sore like arthritis is acting up. I flammation in joints? Covid booster or old age?
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 | Cough | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Poor peripheral circulation | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release