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
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Body temperature increased — Feeling: Good · Site: ItchingFree text: Very very slight increase in temperature by 0.4°.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Gait disturbance, Mobility decreased, Myalgia — Feeling: GoodFree 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
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Pulmonary congestion, Sinus congestion — Feeling: GoodFree text: Lung and sinus congestion. Increased over baseline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
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2021-01-27
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness/vertigo - not sure if its related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Feeling cold — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea, VomitingFree text: Felt cold like the chills but no fever, temp risen by only 1 degreeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Lung disorder, Sinus disorder — Feeling: Good · Fatigue or tirednessFree text: Increased sinus and lung issues with my asthma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-24
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2021-03-03
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Sinus pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme sinus pain, cough, tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-17
Survey response — day 35, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Injection site pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-05-12
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Very very slight increase in temperature by 0.4°.
Release 2 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Lung and sinus congestion. Increased over baseline.
Release 2 — day 14, dose 1
Symptoms: Dizziness/vertigo - not sure if its related to vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Felt cold like the chills but no fever, temp risen by only 1 degree
Systemic reaction (other): Increased sinus and lung issues with my asthma.
Release 5 — day 21, dose 2
Symptoms: Extreme sinus pain, cough, tiredness.
Release 5 — day 35, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | · | ✓ |
| SRO | Lung disorder | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ○ | ✓ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pulmonary congestion | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release