6VD-25661-38153
4 vaccinations
15 coded responses
43 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 875 / NM
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-11
Dose 1 — Moderna
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Decreased appetite — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Bloating, no appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Abdominal painAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No, I feel great today and totally back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 21, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Dose 2 — Moderna
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA 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 2MedDRA: Dyspnoea — Feeling: Fair · Joint painsFree text: I have the sensation that Im having trouble breathing. I keep checking my BO levels and they are excellent for high altitude. They range from 97 - 99MedDRA 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 2MedDRA: Dyspnoea — Feeling: Good · HeadacheFree text: Still feel like I am having difficulty breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-08
- 2021-05-20
- 2021-07-10
- 2021-10-09
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2021-11-02
Dose 3 — Moderna
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2021-11-02
Survey response — day 0, dose 3MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Ringing in my earsMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Good · Site: ItchingFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Good · Site: ItchingFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
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2021-11-09
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-12-02
- 2021-12-07
- 2021-12-14
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2022-02-01
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have CovidMedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-03
- 2022-02-04
- 2022-05-03
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2022-10-06
Dose 4 — Moderna
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2022-10-30
Survey response — day 21, dose 4MedDRA: Fatigue, Muscle twitching — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Since my last Booster October 6th I have had extreme fatigue. I also still have regular twitching at the injection site similar to an eye lid type twitch.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-10-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Bloating, no appetite
Systemic reaction (other): No, I feel great today and totally back to normal
Release 6 — day 21, dose 1
Symptoms: Joint pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): I have the sensation that Im having trouble breathing. I keep checking my BO levels and they are excellent for high altitude. They range from 97 - 99
Systemic reaction (other): Still feel like I am having difficulty breathing
Release 10 — day 0, dose 3
Systemic reaction (other): Ringing in my ears
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Ringing in ears
Systemic reaction (other): Ringing in ears
Systemic reaction (other): Ringing in ears
Systemic reaction (other): Ringing in ears
Systemic reaction (other): Ringing in ears
Release 10 — day 7, dose 3
Systemic reaction (other): Ringing in ears
Release 11 — 3 months, dose 3
Symptoms: I have Covid
Release 12 — day 21, dose 4
Symptoms: Since my last Booster October 6th I have had extreme fatigue. I also still have regular twitching at the injection site similar to an eye lid type twitch.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release