6VM-35956-89374
4 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 930 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Had vaccine in the afternoon in left arm NO symptoms first day but 12 hours after shot had very very sore arm at injection site Moving arm naturally (not rubbing or touching injection site) but when arm felt sore the more I stretched and moved it the symptom of pain was relivedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: Feeling much better than yesterday and I didnt feel badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-11-01
Dose 3 — Moderna
- 2022-03-07
-
2022-04-06
Dose 4 — Moderna
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
-
2022-05-18
Survey response — day 42, dose 4MedDRA: Back pain, Dizziness, Headache, Myalgia, Neck pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Low grade Fever muscle aches Head ache full, Extreme sore back and neck DissinessMedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
- 2022-10-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had vaccine in the afternoon in left arm NO symptoms first day but 12 hours after shot had very very sore arm at injection site Moving arm naturally (not rubbing or touching injection site) but when arm felt sore the more I stretched and moved it the symptom of pain was relived
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling much better than yesterday and I didnt feel bad
Release 11 — day 42, dose 4
Symptoms: Low grade Fever muscle aches Head ache full, Extreme sore back and neck Dissiness
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 | Back pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release