6N4-96570-13963
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 152 / PA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: East is not itchy or painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Malaise, Pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Yesterday I felt quite ill. No fever but extreme fatigue aches and pain and headache. Better this am and improving throughout the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Fatigue, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Realized when swimming my left arm where I got the vaccine still hurts. Also within past week incredibly fatigued which is unusual but obviously could be completely randomMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Groin pain, Pain, Pain in extremity — Feeling: GoodFree text: I continue to have a sore left arm when swimming along with some left sided I GUI allPainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Restart of hot flashes after years of none. 2 other women have mentioned that to me without my askingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): East is not itchy or painful
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I felt quite ill. No fever but extreme fatigue aches and pain and headache. Better this am and improving throughout the day
Release 5 — day 35, dose 2
Symptoms: Realized when swimming my left arm where I got the vaccine still hurts. Also within past week incredibly fatigued which is unusual but obviously could be completely random
Release 8 — 3 months, dose 2
Symptoms: I continue to have a sore left arm when swimming along with some left sided I GUI allPain
Release 9 — 6 months, dose 2
Symptoms: Restart of hot flashes after years of none. 2 other women have mentioned that to me without my asking
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Adverse reaction | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release