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6RN-71887-17102

4 vaccinations 4 coded responses 51 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
750 / TX
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot, Hot flush, Pain in extremity, Restlessness, Symptom recurrence — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches
    Free text: These symptoms were during the night so I had a restless night. I also was very hot so I don't know what that meant. After I got up and around, I mainly just gave a sore arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  8. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Could be be allergies!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Injection site mass — Feeling: Good
    Free text: I have a hard knot in my arm where I got the shot but it isnt painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-07
    Dose 2 — Moderna
  13. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Pain, Pyrexia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Im two days late reporting. 12 hours after my shit I had fever, chills, and body pain. I took they were gone by morning. Yesterday I was very tired. Today is really good!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-28
    Dose 3 — Moderna
  27. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  28. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-07-20
    Dose 4 — Moderna
  43. 2022-07-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-07-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-07-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  46. 2022-07-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  47. 2022-07-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Muscle or body aches
    Adult check-in
  48. 2022-07-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-07-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-08-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-08-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-08-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-08-31
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-01-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-07Moderna
32021-10-28Moderna No
42022-07-20Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): These symptoms were during the night so I had a restless night. I also was very hot so I don't know what that meant. After I got up and around, I mainly just gave a sore arm.

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Could be be allergies!

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I have a hard knot in my arm where I got the shot but it isnt painful.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Im two days late reporting. 12 hours after my shit I had fever, chills, and body pain. I took they were gone by morning. Yesterday I was very tired. Today is really good!

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

FieldPreferred term2021-092023-042024-11
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ · ✓
SROHot flush ○ ✓ ○
SROHypersensitivity ○ ✓ ○
SROInjection site mass ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORestlessness ✓ · ✓
SROSymptom recurrence ○ ✓ ○
SROUnevaluable event ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release