6WC-10978-82018
3 vaccinations
8 coded responses
39 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 835 / ID
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Restless legs syndrome — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Restless legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Swelling, ItchingFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthritis, Chills, Pain, Pre-existing disease, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: On 10/27/21 developed fever, chills, body ache worse in arthritic hands and toes. Took 1000mg Tylenol and slept for 3 hours. Awakened feeling much better.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Burning sensation, Chills, Headache, Pre-existing disease, Pruritus, Self-medication — Feeling: GoodFree text: On 10/28/21 burning and itching if entire body, chills, headache took Benadryl 25 mg, Zyrtec. Have allergies to gentamicin and neomycinMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Burning sensation, Pruritus — Feeling: Good · Site: ItchingFree text: More of a burning itching sensation on legs.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
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2021-11-23
Survey response — day 28, dose 3MedDRA: Pruritus, Skin burning sensation — Feeling: GoodFree text: Burning and itching of skinMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
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2021-12-08
Survey response — day 42, dose 3MedDRA: Arthralgia, Burning sensation, Joint swelling, Pain in extremity, Peripheral swelling, Reaction to previous exposure to any vaccine, Self-medication — Feeling: GoodFree text: Not sure if this is booster related. I experienced similar symptoms that I had the day of my Moderna vaccine. My forearms and hands along with my ankles/ feet felt swollen with burning and aching sensation. Good results from 2 doses of Benadryl.MedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Survey response — 3 months, dose 3MedDRA: Exposure to SARS-CoV-2, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Nasal drainage with slight sore throat. Had exposure to family member tested positive for Covid. On day 6 after exposure I was tested at a drive through site and my results were negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Restless legs
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On 10/27/21 developed fever, chills, body ache worse in arthritic hands and toes. Took 1000mg Tylenol and slept for 3 hours. Awakened feeling much better.
Systemic reaction (other): On 10/28/21 burning and itching if entire body, chills, headache took Benadryl 25 mg, Zyrtec. Have allergies to gentamicin and neomycin
Systemic reaction (other): More of a burning itching sensation on legs.
Release 10 — day 28, dose 3
Symptoms: Burning and itching of skin
Release 10 — day 42, dose 3
Symptoms: Not sure if this is booster related. I experienced similar symptoms that I had the day of my Moderna vaccine. My forearms and hands along with my ankles/ feet felt swollen with burning and aching sensation. Good results from 2 doses of Benadryl.
Release 11 — 3 months, dose 3
Symptoms: Nasal drainage with slight sore throat. Had exposure to family member tested positive for Covid. On day 6 after exposure I was tested at a drive through site and my results were negative.
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 | Arthralgia | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release