6VB-36570-37711
2 vaccinations
8 coded responses
13 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy memoryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: No more brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Muscle twitching — Feeling: FairFree text: Still feeling little tired, Arm Muscle twitching at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Slight CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
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2021-04-29
Survey response — day 21, dose 1MedDRA: Injection site pain, Injection site reaction, Muscle twitching, Musculoskeletal stiffness — Feeling: FairFree text: My Right arm injection site is stall sore and the muscle keeps Twitching and some with stiffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-07-08
Survey response — 3 months, dose 1MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had phases of very Fatigues for like three days then I have had phases where Cannot sleep for two days this has been for like three weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-04-08
Dose 2 — Moderna
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2022-04-08
Survey response — 12 months, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stiff back when walking had to push myself to get things doneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2022-04-08 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Foggy memory
Systemic reaction (other): No more brain fog
Systemic reaction (other): Slight Cough
Systemic reaction (other): Still feeling little tired, Arm Muscle twitching at injection site
Systemic reaction (other): Slight Cough
Release 8 — day 21, dose 1
Symptoms: My Right arm injection site is stall sore and the muscle keeps Twitching and some with stiff
Release 9 — 3 months, dose 1
Symptoms: I have had phases of very Fatigues for like three days then I have had phases where Cannot sleep for two days this has been for like three weeks
Release 11 — 12 months, dose 1
Symptoms: Stiff back when walking had to push myself to get things done
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release