6RR-31943-69601
4 vaccinations
3 coded responses
37 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 495 / MI
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: I missed the first few days check in. The first 2 days after injection the injection site was sore to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Fatigue, Pain — Feeling: GoodFree text: Just felt tired and achy. Not like the flu achy, but just not normal. This was anout 7-10 days after the first dose. It lasted a few days and then i was back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-13
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-03-25
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Anxiety, Heart rate increased, Stress — Feeling: GoodFree text: I seem to have a faster than normal heart rate more frequently.... but, i also seem to have more anxiety and stress easier than before COVID entered our lives. So .... not sure if it's shot related or not.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-29
- 2022-05-01
-
2022-05-04
Dose 4 — Moderna
- 2022-05-19
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I missed the first few days check in. The first 2 days after injection the injection site was sore to the touch
Release 3 — day 14, dose 1
Symptoms: Just felt tired and achy. Not like the flu achy, but just not normal. This was anout 7-10 days after the first dose. It lasted a few days and then i was back to normal
Release 9 — 6 months, dose 2
Symptoms: I seem to have a faster than normal heart rate more frequently.... but, i also seem to have more anxiety and stress easier than before COVID entered our lives. So .... not sure if it's shot related or not.
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 | Anxiety | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release