6MG-17177-33661
4 vaccinations
3 coded responses
29 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 765 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PQX-19759-34859
Child or adolescent in my care · Female · 2021-10-29
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
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2021-03-09
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain, SwellingFree text: Nothing significantI did have a little while with a metallic taste in my mouth but I dont know if that related to having had less water than usual this morning (drove an hour each way and didnt want to have to find public restroom).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain, SwellingFree text: Quasi feverish, a bit of the sweats.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Dose 2 — Moderna
-
2021-04-06
Survey response — day 0, dose 2MedDRA: Muscle tightness, Urticaria — Feeling: Good · Site: Pain, SwellingFree text: A small, pea-sized...hive? In lower forearm of same arm as vaccine administration. Not sure if it related...I am palpating it like a muscle tightness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, NauseaAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
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2021-08-31
Dose 3 — Moderna
- 2021-10-05
- 2021-11-30
-
2022-02-19
Dose 4 — Moderna
- 2022-03-03
- 2022-05-21
- 2022-08-20
- 2023-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-08-31 | Moderna | No |
| 4 | 2022-02-19 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Nothing significantI did have a little while with a metallic taste in my mouth but I dont know if that related to having had less water than usual this morning (drove an hour each way and didnt want to have to find public restroom).
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Quasi feverish, a bit of the sweats.
Release 7 — day 0, dose 2
Systemic reaction (other): A small, pea-sized...hive? In lower forearm of same arm as vaccine administration. Not sure if it related...I am palpating it like a muscle tightness.
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 |
|---|---|---|---|---|
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release