6W6-13039-77031
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 488 / MI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Skin burning sensation — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Had weird skin burning feeling upon arising but it stopped after about 15 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · DiarrheaFree text: A little icky stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache - treating with TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Diarrhoea, Dizziness, Fatigue, Nausea, Tremor, Vertigo, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Saturday woke up with bad vertigo. It went quickly to nausea, diarrhea, and vomiting. Also very shaken and tired. Sunday still had upset stomach and lighter vertigo. Monday was still a bit woozie , stomach still off, tired. Tuesday was improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-04-30
Dose 2 — Moderna
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pain — Feeling: GoodFree text: First couple days experienced chills, soreness, tired. But fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-23
- 2021-05-31
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-30
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Had weird skin burning feeling upon arising but it stopped after about 15 minutes.
Systemic reaction (other): A little icky stomach
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Headache - treating with Tylenol
Release 7 — day 21, dose 1
Symptoms: Saturday woke up with bad vertigo. It went quickly to nausea, diarrhea, and vomiting. Also very shaken and tired. Sunday still had upset stomach and lighter vertigo. Monday was still a bit woozie , stomach still off, tired. Tuesday was improving.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): First couple days experienced chills, soreness, tired. But fine now
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release