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6HE-16693-98817

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
483 / MI
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Dose 2 — Moderna
  4. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Chills
    Free text: Just want to say i always stay chilly have renaulds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia, Pain in extremity — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Just couldnt get warm at all plus real sore arm didnt sleep well but took good nap today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: After side effects yestetday today was so different very good actually still litte pain im the shot aerea but not a problem slept better last night as well!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Chills, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Monday was very dizzy with some nasea plus chills slight headache last couple days & more tired even having rested thru nite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Just want to say i always stay chilly have renaulds

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Just couldnt get warm at all plus real sore arm didnt sleep well but took good nap today

2021-04-10

Systemic reaction (other): After side effects yestetday today was so different very good actually still litte pain im the shot aerea but not a problem slept better last night as well!

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Monday was very dizzy with some nasea plus chills slight headache last couple days & more tired even having rested thru nite

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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