6TL-36680-32740
1 vaccination
5 coded responses
13 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 342 / FL
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Blepharospasm, Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: mild, momentary lightheadedness and eye vibratingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-03
- 2021-04-04
- 2021-04-07
- 2021-04-12
- 2021-04-19
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2021-04-26
Survey response — day 28, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: I feel like I'm fighting off a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
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2021-05-12
Survey response — day 42, dose 1MedDRA: Headache, Self-medication, Sleep disorder, Stress — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache. Aspirin doesn't help. Not digesting food very well at night which interferes with sleep.I'm under an inordinate amount of stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-29
Survey response — 6 months, dose 1MedDRA: Pain in extremity, Rash — Feeling: GoodFree text: My legs and feet hurt often.I get a small weird recurring rash on one cheek.MedDRA releases: 2024-11 · check-in free text available
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2022-03-29
Survey response — 12 months, dose 1MedDRA: Headache, Nasopharyngitis, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A head cold with a long build up over weeks, then lasted 5 days. Lots of sneezing & mask drip, headache every day upon waking that faded somewhat during the day.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): mild, momentary lightheadedness and eye vibrating
Release 8 — day 28, dose 1
Symptoms: I feel like I'm fighting off a cold.
Release 8 — day 42, dose 1
Symptoms: Headache. Aspirin doesn't help. Not digesting food very well at night which interferes with sleep.I'm under an inordinate amount of stress.
Release 9 — 6 months, dose 1
Symptoms: My legs and feet hurt often.I get a small weird recurring rash on one cheek.
Release 11 — 12 months, dose 1
Symptoms: A head cold with a long build up over weeks, then lasted 5 days. Lots of sneezing & mask drip, headache every day upon waking that faded somewhat during the day.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release