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
-
2021-06-30
Registered in v-safe
-
2021-06-30
Dose 2 — Moderna
-
2021-06-30
Survey response — day 0, dose 1MedDRA: Arthralgia, COVID-19, Chills, Gait inability, Pyrexia — Feeling: Good · Site: Pain · HeadacheFree text: My first shot was way worse, very high fever, joint pain, couldnt walk, shivers, but I had covid in marchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: My taste changed, my smell is gone, nerves are twitching, head to toesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Infection site painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-03
-
2021-07-04
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia, Anosmia, Dysgeusia, Parosmia, Pre-existing disease — Feeling: GoodFree 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 covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dysgeusia, Fatigue — Feeling: FairFree text: No apetite, still bad taste in my mouth, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: All gone, same as with the first dose, feeling greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 2 | 2021-06-30 | Moderna | No |
Free text
Release 9 — day 0, dose 1
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
Systemic reaction (other): My taste changed, my smell is gone, nerves are twitching, head to toes
Systemic reaction (other): Infection site pain
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
Systemic reaction (other): No apetite, still bad taste in my mouth, tired
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gait inability | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release