6MJ-21582-18980
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 680 / NE
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-04
Registered in v-safe
- 2021-01-04
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dizziness, Fatigue, Impaired work ability, Nausea — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Missed survey on day of and 2 days following second shot. Fatigue, nausea and dizziness. Second day dizziness subsided but still fatigue and no appetite. Missed work both days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 28, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to workFree text: Just a cold with sore throat. Resolving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-07-29
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Marked fatigue x3 days with headache. Unale to be tested into 5 days post onset of ax and 7 days post confirmed Covid case exposure. My Covid PCR was negative. Today with new onset sore throat and congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Missed survey on day of and 2 days following second shot. Fatigue, nausea and dizziness. Second day dizziness subsided but still fatigue and no appetite. Missed work both days.
Release 4 — day 28, dose 2
Symptoms: Just a cold with sore throat. Resolving.
Release 11 — 12 months, dose 2
Symptoms: Marked fatigue x3 days with headache. Unale to be tested into 5 days post onset of ax and 7 days post confirmed Covid case exposure. My Covid PCR was negative. Today with new onset sore throat and congestion
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release