6FZ-15077-10453
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 234 / VA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, NauseaFree text: Trigger points? Muscle spasms upper left trapezius, across mid-upper back, and up left back of neck. This is the muscle aches noted above.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Headache, Muscle or body achesFree text: Just dont feel that greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Muscle or body achesFree text: (This is the body ache noted above) Swollen, painful axillary lymph nodes arm with shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Muscle or body achesFree text: Noted above: swelling and pain axillary lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-19
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2021-01-26
Survey response — day 28, dose 1MedDRA: Ear discomfort, Hypersensitivity, Sinus congestion — Feeling: FairFree text: Sinus congestion/allergies, fullness in ears. Improves with increased allergy meds and sudafed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Dose 2 — Moderna
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · HeadacheFree text: Had mild arm pain first 2 days aftr shot. None nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Trigger points? Muscle spasms upper left trapezius, across mid-upper back, and up left back of neck. This is the muscle aches noted above.
Systemic reaction (other): Just dont feel that great
Systemic reaction (other): (This is the body ache noted above) Swollen, painful axillary lymph nodes arm with shot
Release 1 — day 7, dose 1
Systemic reaction (other): Noted above: swelling and pain axillary lymph nodes
Release 2 — day 28, dose 1
Symptoms: Sinus congestion/allergies, fullness in ears. Improves with increased allergy meds and sudafed.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Had mild arm pain first 2 days aftr shot. None now
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 discomfort | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release