6G9-86814-40707
3 vaccinations
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 044 / ME
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
- 2021-02-27
- 2021-02-28
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
-
2021-03-19
Survey response — day 21, dose 1MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue On/off chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 28, dose 1MedDRA: Feeling cold — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On and off episodes of being very cold over whole body,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Dose 2 — Moderna
-
2021-11-24
Dose 3 — ModernaCo-administered: Flu
-
2021-12-03
Survey response — day 7, dose 3MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Was Woken up this morning with Left upper arm very sore at injection site - pain was deep and not at skin surface of injection site administrator 10 days a ago.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-15
-
2021-12-24
Survey response — day 28, dose 3MedDRA: Fatigue, Injection site pain, Pain — Feeling: GoodFree text: Fatigue increasing. Left upper arm injection site -experiencing deep dull achey muscle pain from time to time. Comes on unexpectedly. I'm retired so missed work time, but favor left arm if doing home projects at the time of onset.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-29 | Moderna | No |
| 3 | 2021-11-24 | Moderna | Flu |
Free text
Release 5 — day 21, dose 1
Symptoms: Fatigue On/off chills
Release 6 — day 28, dose 1
Symptoms: On and off episodes of being very cold over whole body,
Release 10 — day 7, dose 3
Systemic reaction (other): Was Woken up this morning with Left upper arm very sore at injection site - pain was deep and not at skin surface of injection site administrator 10 days a ago.
Release 10 — day 28, dose 3
Symptoms: Fatigue increasing. Left upper arm injection site -experiencing deep dull achey muscle pain from time to time. Comes on unexpectedly. I'm retired so missed work time, but favor left arm if doing home projects at the time of onset.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release