6WJ-29101-11783
2 vaccinations
16 coded responses
25 check-ins
16 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal painFree text: I woke up at 1:30am because my both arms were tingling, and my body was shaking. I did drink hot milk, and plenty of warm water and I got better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Sleep disorder, Tremor — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea, Abdominal painFree text: Tingling and shaking the hight I got the vaccine when I was sleeping. It woke me up. I did drink hot milk and warm water and I got better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 21, dose 1MedDRA: Gastrooesophageal reflux disease, Self-medication, Sleep disorder, Somnolence, Tremor — Feeling: GoodFree text: Last night l woke up at midnight with acid reflux, and I was shaking. I had a cup of hot oregano and garlic tea and I got better.Another thing I note is that I feel sleepier than before vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, NauseaFree text: NiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache, Nausea, Abdominal painFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Accidit reflux.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Joint pains, Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Muscle or body achesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Fair · Joint painsFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-20
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-05
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2021-05-11
Survey response — day 42, dose 2MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Survey response — 3 months, dose 2MedDRA: Gastrooesophageal reflux disease, Migraine, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraine, body ache and acidy reflex.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-28
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feel tired and sleepy very often.Some headache.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Survey response — 12 months, dose 2MedDRA: Pain, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sleepy to often and ache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up at 1:30am because my both arms were tingling, and my body was shaking. I did drink hot milk, and plenty of warm water and I got better.
Systemic reaction (other): Tingling and shaking the hight I got the vaccine when I was sleeping. It woke me up. I did drink hot milk and warm water and I got better.
Systemic reaction (other): No
Release 6 — day 21, dose 1
Symptoms: Last night l woke up at midnight with acid reflux, and I was shaking. I had a cup of hot oregano and garlic tea and I got better.Another thing I note is that I feel sleepier than before vaccinated.
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Ni
Systemic reaction (other): No
Systemic reaction (other): Accidit reflux.
Systemic reaction (other): No
Systemic reaction (other): None
Release 7 — day 7, dose 2
Systemic reaction (other): None
Release 7 — day 21, dose 2
Symptoms: Headache.
Release 8 — day 42, dose 2
Symptoms: Migraine.
Release 9 — 3 months, dose 2
Symptoms: Migraine, body ache and acidy reflex.
Release 9 — 6 months, dose 2
Symptoms: Feel tired and sleepy very often.Some headache.
Release 11 — 12 months, dose 2
Symptoms: Sleepy to often and ache.
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 | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release