6PS-17518-07962
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
-
2021-03-18
Survey response — day 0, dose 1MedDRA: Cough, Fatigue, Muscle spasms, Rhinorrhoea — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: No bad pain. But after the shot in my left arm. My left hand could not hold a bag of food. It was cramping from holding the food. But upon release it was good. My left arm is my non dominant hand and good arm. I knownit was from the shot. 2 hours later, I had a dry cough spell and a running nose spell. I am feeling a bit tired. Like I came from a doctor's appt, all day at rhe hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Sputum discoloured — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just sore injection site. I did blow my nose once woth white cloudy snot. That was it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Immunisation reaction — Feeling: Good · Site: Itching · HeadacheFree text: It was mild. No rash developed. Headache linger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No bad pain. But after the shot in my left arm. My left hand could not hold a bag of food. It was cramping from holding the food. But upon release it was good. My left arm is my non dominant hand and good arm. I knownit was from the shot. 2 hours later, I had a dry cough spell and a running nose spell. I am feeling a bit tired. Like I came from a doctor's appt, all day at rhe hospital.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Just sore injection site. I did blow my nose once woth white cloudy snot. That was it.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): It was mild. No rash developed. Headache linger.
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 |
|---|---|---|---|---|
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sputum discoloured | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release