6MR-21652-12848
4 vaccinations
7 coded responses
41 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
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2021-01-18
Dose 1 — Moderna
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2021-01-18
Survey response — day 0, dose 1MedDRA: Headache, Self-medication — Feeling: Poor · Site: Pain · Headache, Joint painsFree text: A Real Bad Headache...Took Tylenol 3 twice today Still have headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Joint painsAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Joint painsAdult check-in
- 2021-01-23
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NOMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
- 2021-02-08
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2021-02-15
Dose 2 — Moderna
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body achesFree text: I feel feverish but my temp is 97.2....usually it stays in the 96sMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Muscle or body achesAdult check-in
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Pre-existing disease — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: Muscle Aches May Also Just Be My ArthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis, Pain, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Probably my arthritis thats aching thoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-18
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2021-10-22
Dose 3 — Moderna
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-10-27
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-10-29
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body achesFree text: But I think it's my allergies and my reg muscle pain from ArthritisMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2022-01-21
- 2022-04-22
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2022-04-26
Dose 4 — ModernaCo-administered: Shingles
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2022-05-18
Survey response — day 21, dose 4MedDRA: Dizziness, Feeling abnormal, Headache, Pain in extremity — Feeling: GoodFree text: I had my second booster and felt real bad for one day. Bad headache a lil lightheaded and arm a lil sore. Yet by that night I felt fine -I did not have any fever tho.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
- 2022-10-25
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-26 | Moderna | Shingles |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): A Real Bad Headache...Took Tylenol 3 twice today Still have headache
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): NO
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I feel feverish but my temp is 97.2....usually it stays in the 96s
Systemic reaction (other): Muscle Aches May Also Just Be My Arthritis
Systemic reaction (other): Probably my arthritis thats aching tho
Release 10 — day 7, dose 3
Systemic reaction (other): But I think it's my allergies and my reg muscle pain from Arthritis
Release 11 — day 21, dose 4
Symptoms: I had my second booster and felt real bad for one day. Bad headache a lil lightheaded and arm a lil sore. Yet by that night I felt fine -I did not have any fever tho.
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 | Dizziness | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release