6VU-11834-38081
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 895 / NV
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: I feel generally a little off my best but not enough to even think about.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Pruritus, Rash, Stress — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: I have had the rash for several weeks but it's been itching more since the vaccine. Also I was super stressedYesterday and last night. Didn't sleep. Could have just been stress but thought I'd mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-13
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
- 2021-02-02
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Vaguely tired but could be just tired and not vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-10
- 2021-03-15
-
2021-05-03
Survey response — 3 months, dose 2MedDRA: Fatigue, Insomnia — Feeling: FairFree text: I am more tired more of the time. Not terrible but noticeable and I dont sleep well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
-
2021-11-05
Dose 3 — Moderna
- 2022-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I feel generally a little off my best but not enough to even think about.
Systemic reaction (other): I have had the rash for several weeks but it's been itching more since the vaccine. Also I was super stressedYesterday and last night. Didn't sleep. Could have just been stress but thought I'd mention it.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Vaguely tired but could be just tired and not vaccine related.
Release 8 — 3 months, dose 2
Symptoms: I am more tired more of the time. Not terrible but noticeable and I dont sleep well.
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 | Insomnia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release