6MZ-58649-27099
5 vaccinations
5 coded responses
59 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 212 / MD
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Myalgia, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Last night, my myalgias and local arm pain were both moderate (& made it difficult to sleep. But acetaminophen helped a great deal. By today, my moderate symptoms are now mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Sleep disorder — Feeling: Good · Site: Pain, SwellingFree text: Again, last night the myalgias were present ( but didn't interrupt my sleep this time) and today, they are goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-11
- 2021-01-14
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Especially overnight - getting better thruout the dayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: Back to myself 100%!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-26
Dose 4 — Moderna
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
-
2022-07-26
Survey response — 3 months, dose 4MedDRA: Concussion, Fall, Radius fracture, Rib fracture, Skin laceration, Traumatic liver injury — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Nothing to do w/ COVID19. Fell down steps-> multiple injuries: broke both radii & 2 ribs; concussion w/ forehead lacerations; lacerated liver ( healed conservatively)MedDRA releases: 2024-11 · check-in free text available
-
2022-07-26
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-07-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-20
Dose 5 — Moderna
- 2022-10-08
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-03
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Last night, my myalgias and local arm pain were both moderate (& made it difficult to sleep. But acetaminophen helped a great deal. By today, my moderate symptoms are now mild.
Systemic reaction (other): Again, last night the myalgias were present ( but didn't interrupt my sleep this time) and today, they are gone
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Especially overnight - getting better thruout the day
Systemic reaction (other): Back to myself 100%!
Release 12 — 3 months, dose 4
Symptoms: Nothing to do w/ COVID19. Fell down steps-> multiple injuries: broke both radii & 2 ribs; concussion w/ forehead lacerations; lacerated liver ( healed conservatively)
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 | Concussion | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Radius fracture | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | Skin laceration | · | · | ✓ |
| SD | Traumatic liver injury | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release