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6GC-50318-07621

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
242 / VA
Registered
2021-04-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-04-06
    Dose 2 — Moderna
  3. 2021-04-11
    Registered in v-safe
  4. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · None
    Adult check-in
  5. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion — Feeling: Fair · Nausea
    Free text: Still have a bruise; still having trouble with short term memory
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-13
    Survey response — day 7, dose 2
    MedDRA: Amnesia, Contusion, Fatigue — Feeling: Fair · Fatigue or tiredness
    Free text: Seems like I tire more easily. Still a bit of short term memory issues. Bruise is there but fading.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-28
    Survey response — day 21, dose 2
    MedDRA: Abdominal discomfort, Diverticulitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Had a fairly severe bout of diverticulitis, and wondered if the reaction I had to the second vaccine, with digestive upset, could have made me more susceptible.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-04
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still have itchy rash on torso. Also haven't been able to overcome the residual fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-04-06
    Health check-in — 12 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Still have a bruise; still having trouble with short term memory

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Seems like I tire more easily. Still a bit of short term memory issues. Bruise is there but fading.

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Had a fairly severe bout of diverticulitis, and wondered if the reaction I had to the second vaccine, with digestive upset, could have made me more susceptible.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Still have itchy rash on torso. Also haven't been able to overcome the residual fatigue.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDDiverticulitis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROAmnesia ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release