6FX-90101-02449
4 vaccinations
9 coded responses
33 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
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2021-03-17
Dose 1 — Moderna
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2021-03-17
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Post procedural discomfort, Pre-existing disease — Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesFree text: Discomfort from previous Mesh patch on abdominal wallMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-04-01
- 2021-04-07
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2021-04-13
Dose 2 — Moderna
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pain — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tirednessFree text: Brain fog & aches subsided late afternoon. Much normal nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: SwellingFree text: Soreness in the injection areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-15
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Last month I started experiencing dizzy spells lasting most of the day. Other times just in the morning then going away. Not sure if it's related but never felt that before. Currently it's more mild and only random. Not everyday like before.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Dose 3 — Moderna
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2022-04-13
Survey response — 12 months, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: My husband tested positive after a business trip. After a week, I felt some mild symptoms, but tested neg. After 3 days decided to take a PCR test and it was also neg. Allergies?MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Dose 4 — Moderna
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2022-04-26
Survey response — day 7, dose 4MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breath 1st week after receiving last dose onlyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-06
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2022-05-13
Survey response — day 28, dose 4MedDRA: Fatigue, Syncope — Feeling: GoodFree text: Had an episode of extreme fatigue and fainting during a short non strenuous hike. Not sure if it's related but it was a new condition. Fine after a couple hours. No other espisodes since 5/7.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-07-15
- 2022-10-14
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Discomfort from previous Mesh patch on abdominal wall
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Back to normal
Systemic reaction (other): None
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog & aches subsided late afternoon. Much normal now
Systemic reaction (other): Soreness in the injection area
Release 10 — 6 months, dose 2
Symptoms: Last month I started experiencing dizzy spells lasting most of the day. Other times just in the morning then going away. Not sure if it's related but never felt that before. Currently it's more mild and only random. Not everyday like before.
Release 11 — 12 months, dose 2
Symptoms: My husband tested positive after a business trip. After a week, I felt some mild symptoms, but tested neg. After 3 days decided to take a PCR test and it was also neg. Allergies?
Release 11 — day 7, dose 4
Systemic reaction (other): Shortness of breath 1st week after receiving last dose only
Release 11 — day 28, dose 4
Symptoms: Had an episode of extreme fatigue and fainting during a short non strenuous hike. Not sure if it's related but it was a new condition. Fine after a couple hours. No other espisodes since 5/7.
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 | Adverse reaction | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Post procedural discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release