6JC-17557-70106
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 227 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Was heavily fatigued yesterday and so missed filling out yesterdays report - otherwise fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-22
- 2021-01-27
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
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2021-02-10
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Condition aggravated, Headache, Lymphadenopathy, Nausea, Pre-existing disease, Rash, Sinus pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: I have had pain under my chin on my neck where my glands are - they feel swollen. All of my sinuses hurt. I am being evaluated for potential autoimmune issues (maybe rheumatoid arthritis, fibromyalgia, etc). The joints that have been causing me issues with that, have been exponentially worse since the vaccine. I also sometimes get a rash on one side of my face - this also presented after my shot. The pain, nausea, and headache are persistent, but also worsen to an intolerable level in waves ever since last night. I went to work anyway since I didnt have a fever and Im a teacher and thats just how it is in this culture.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Health check-in — day 7, dose 2Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-02-26
Survey response — day 14, dose 2MedDRA: Arthralgia, Myalgia — Feeling: FairFree text: All day yesterday and the night before I had severe muscle and joint pains literally all over my body, just like I did the day after my shot. It is better today, but it hurt to the touch and to move AT ALL yesterday. No other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: The sharp pain at the injection site returned randomly this past week for a few days, then left again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Was heavily fatigued yesterday and so missed filling out yesterdays report - otherwise fine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have had pain under my chin on my neck where my glands are - they feel swollen. All of my sinuses hurt. I am being evaluated for potential autoimmune issues (maybe rheumatoid arthritis, fibromyalgia, etc). The joints that have been causing me issues with that, have been exponentially worse since the vaccine. I also sometimes get a rash on one side of my face - this also presented after my shot. The pain, nausea, and headache are persistent, but also worsen to an intolerable level in waves ever since last night. I went to work anyway since I didnt have a fever and Im a teacher and thats just how it is in this culture.
Release 4 — day 14, dose 2
Symptoms: All day yesterday and the night before I had severe muscle and joint pains literally all over my body, just like I did the day after my shot. It is better today, but it hurt to the touch and to move AT ALL yesterday. No other symptoms.
Release 8 — 3 months, dose 2
Symptoms: The sharp pain at the injection site returned randomly this past week for a few days, then left again.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release