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
-
2021-03-09
Dose 1 — Moderna
-
2021-04-06
Dose 2 — Moderna
-
2021-04-11
Registered in v-safe
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Fair · NauseaFree text: Still have a bruise; still having trouble with short term memoryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 7, dose 2MedDRA: Amnesia, Contusion, Fatigue — Feeling: Fair · Fatigue or tirednessFree 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
- 2021-04-20
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2021-04-28
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Diverticulitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Fatigue, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-05-12
- 2021-05-18
- 2021-07-08
- 2021-10-07
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Still have a bruise; still having trouble with short term memory
Release 7 — day 7, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Amnesia | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release