6QU-29727-16812
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
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2021-01-25
Dose 1 — Moderna
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-28
- 2021-01-29
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus — Feeling: Good · Site: ItchingFree text: Forgot to report itching on forearm of injection arm first 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-02-23
Dose 2 — Moderna
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Forgot to report the day after I took the stairs (something I do several times a day) and was extremely short of breath. It subsided afterwards and never returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-09
Survey response — day 14, dose 2MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Thursday 03-04-21, 5pm, felt faint. Head began to tilt to the left and eyes felt like they were about to close with moderate dizziness. Subsided after 5 seconds. Happens again on Monday, 03-08-21, 8pm but only felt dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 21, dose 2MedDRA: Urinary tract infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Urinate Tract infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-30
- 2021-04-06
- 2021-08-24
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Forgot to report itching on forearm of injection arm first 2 days
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to report the day after I took the stairs (something I do several times a day) and was extremely short of breath. It subsided afterwards and never returned.
Release 5 — day 14, dose 2
Symptoms: Thursday 03-04-21, 5pm, felt faint. Head began to tilt to the left and eyes felt like they were about to close with moderate dizziness. Subsided after 5 seconds. Happens again on Monday, 03-08-21, 8pm but only felt dizzy.
Release 5 — day 21, dose 2
Symptoms: Urinate Tract infection
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 | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release