6SD-21286-87373
4 vaccinations
8 coded responses
49 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-06
Registered in v-safe
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2021-04-06
Dose 1 — Moderna
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2021-04-06
Survey response — day 0, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: GoodFree text: Mildly lightheaded for 2 hours following the injection. Some brain fog for 3 hours following the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
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2021-05-04
Dose 2 — Moderna
- 2021-05-04
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Lightheaded - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: ItchingFree text: Mila sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
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2021-06-15
Survey response — day 42, dose 2MedDRA: Injection site pruritus — Feeling: FairFree text: My arm still itches at the injection site. Since you don't provide a space for such reporting when everything else is good, I marked yes in the above question. Have you identified how long the irritation will last?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
- 2021-11-02
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2021-11-08
Dose 3 — Moderna
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Cold sweat, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend schoolFree text: Cold sweat, lightheadedMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-15
Survey response — day 7, dose 3MedDRA: Injection site dryness — Feeling: Good · Site: Redness, SwellingFree text: Dry patch of skin at the injection site. This did not happen the first 2 shots.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2022-02-07
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Fatigue, Lacrimation increased, Nasopharyngitis, Pain, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Very bad cold for 10 days - chest congestion, coughing, watery eyes, exhaustion, body aches, sinus congestion, chills, & fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
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2022-09-15
Dose 4 — Moderna
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2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, NauseaAdult check-in
- 2022-09-18
- 2022-09-19
- 2022-09-20
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2022-09-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · HeadacheAdult check-in
- 2022-09-22
- 2022-09-29
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-12-17
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Mildly lightheaded for 2 hours following the injection. Some brain fog for 3 hours following the injection.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded - mild
Systemic reaction (other): Mila sore throat.
Release 9 — day 42, dose 2
Symptoms: My arm still itches at the injection site. Since you don't provide a space for such reporting when everything else is good, I marked yes in the above question. Have you identified how long the irritation will last?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cold sweat, lightheaded
Systemic reaction (other): Dizzy
Release 10 — day 7, dose 3
Systemic reaction (other): Dry patch of skin at the injection site. This did not happen the first 2 shots.
Release 11 — 3 months, dose 3
Symptoms: Very bad cold for 10 days - chest congestion, coughing, watery eyes, exhaustion, body aches, sinus congestion, chills, & fever.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site dryness | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release