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6SL-20129-17685

1 vaccination 6 coded responses 7 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
111 / NY
Registered
2021-06-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-30
    Registered in v-safe
  2. 2021-06-30
    Dose 2 — Moderna
  3. 2021-06-30
    Survey response — day 0, dose 1
    MedDRA: Arthralgia, COVID-19, Chills, Gait inability, Pyrexia — Feeling: Good · Site: Pain · Headache
    Free text: My first shot was way worse, very high fever, joint pain, couldnt walk, shivers, but I had covid in march
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-07-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anosmia, Muscle twitching, Taste disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My taste changed, my smell is gone, nerves are twitching, head to toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Infection site pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-07-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia, Dysgeusia, Parosmia, Pre-existing disease — Feeling: Good
    Free text: Same as with first dose, third day I lost taste and smell, certain things smell bad and taste bad, coffee, bananas, bagel. I had parosmia with covid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Dysgeusia, Fatigue — Feeling: Fair
    Free text: No apetite, still bad taste in my mouth, tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: All gone, same as with the first dose, feeling great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
22021-06-30Moderna No

Free text

Release 9 — day 0, dose 1

2021-06-30

Systemic reaction (other): My first shot was way worse, very high fever, joint pain, couldnt walk, shivers, but I had covid in march

Release 9 — days 1–6 daily, dose 2

2021-07-01

Systemic reaction (other): My taste changed, my smell is gone, nerves are twitching, head to toes

2021-07-02

Systemic reaction (other): Infection site pain

2021-07-04

Systemic reaction (other): Same as with first dose, third day I lost taste and smell, certain things smell bad and taste bad, coffee, bananas, bagel. I had parosmia with covid

2021-07-05

Systemic reaction (other): No apetite, still bad taste in my mouth, tired

2021-07-06

Systemic reaction (other): All gone, same as with the first dose, feeling great

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
SROAgeusia ✓ ✓ ✓
SROAnosmia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGait inability ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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