6N9-39528-31775
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 283 / NC
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Poor · Site: Pain, Swelling · HeadacheFree text: Arm very stiff and about 4 inch around injection site extremely painful and bothersome.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain, Itching · Muscle or body achesFree text: Arm still sore around 4-5 inches around injection site and down arm .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Joint range of motion decreased, Limb discomfort — Feeling: Good · Site: PainFree text: Arm much less compromised. Able to now lift above my shoulder and head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-13
- 2021-03-18
- 2021-03-25
- 2021-04-03
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Memory impairment — Feeling: GoodFree text: Memory challenges. I haven't contracted Covid but my memory seems a little diminished. I can remember if someone reminds me but I at times I just can't remember a task or promise or commitment. Very frustrating. I know I'm 67 but my memory changeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Arm very stiff and about 4 inch around injection site extremely painful and bothersome.
Systemic reaction (other): Arm still sore around 4-5 inches around injection site and down arm .
Systemic reaction (other): Arm much less compromised. Able to now lift above my shoulder and head.
Release 11 — 12 months, dose 2
Symptoms: Memory challenges. I haven't contracted Covid but my memory seems a little diminished. I can remember if someone reminds me but I at times I just can't remember a task or promise or commitment. Very frustrating. I know I'm 67 but my memory change cut off by CDC
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 | Memory impairment | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release