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6VY-77195-76158

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
960 / CA
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Survey response — day 0, dose 1
    MedDRA: Body temperature increased — Feeling: Good · Site: Itching
    Free text: Very very slight increase in temperature by 0.4°.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gait disturbance, Mobility decreased, Myalgia — Feeling: Good
    Free text: Muscle pain only when I tried to go for my walk. Could barely finish walking to my car but no pain after that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pulmonary congestion, Sinus congestion — Feeling: Good
    Free text: Lung and sinus congestion. Increased over baseline.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizziness/vertigo - not sure if its related to vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-10
    Dose 2 — Moderna
  14. 2021-02-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Feeling cold — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea, Vomiting
    Free text: Felt cold like the chills but no fever, temp risen by only 1 degree
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lung disorder, Sinus disorder — Feeling: Good · Fatigue or tiredness
    Free text: Increased sinus and lung issues with my asthma.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea
    Adult check-in
  20. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  21. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-03
    Survey response — day 21, dose 2
    MedDRA: Cough, Fatigue, Sinus pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Extreme sinus pain, cough, tiredness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-17
    Survey response — day 35, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Injection site pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-02-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Very very slight increase in temperature by 0.4°.

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Muscle pain only when I tried to go for my walk. Could barely finish walking to my car but no pain after that.

2021-01-15

Systemic reaction (other): Lung and sinus congestion. Increased over baseline.

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Dizziness/vertigo - not sure if its related to vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Felt cold like the chills but no fever, temp risen by only 1 degree

2021-02-12

Systemic reaction (other): Increased sinus and lung issues with my asthma.

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Extreme sinus pain, cough, tiredness.

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Injection site pain.

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDSinus pain ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROGait disturbance ✓ · ✓
SROLung disorder ✓ ✓ ✓
SROMobility decreased ○ ✓ ○
SROMyalgia ✓ ✓ ✓
SROPulmonary congestion ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release