6WR-74006-45639
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 126 / NY
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-25
Survey response — day 7, dose 1MedDRA: Abdominal distension — Feeling: FairFree text: A little bloating but nothing unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 14, dose 1MedDRA: Discomfort, Pruritus, Rash, Rash erythematous — Feeling: FairFree text: One week after the shot I developed a red rash on the arm where I received the vaccine. It has gotten larger since then. It only causes very mild discomfort- occasional itching, but it has gotten larger, now covering over half of my upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Mental impairment — Feeling: Fair · Site: Redness, Itching · Headache, Abdominal painFree text: Somewhat diminished mental clarity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
-
2021-04-29
Survey response — day 14, dose 2MedDRA: Muscle spasms, Pain in extremity — Feeling: GoodFree text: For about two days on and off I had a sharp pain on the top of my right foot, short of like muscle spasm, but sharply painful. But it has not happened in a couple of days, so I think it is over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): A little bloating but nothing unusual.
Release 6 — day 14, dose 1
Symptoms: One week after the shot I developed a red rash on the arm where I received the vaccine. It has gotten larger since then. It only causes very mild discomfort- occasional itching, but it has gotten larger, now covering over half of my upper arm.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Somewhat diminished mental clarity.
Release 8 — day 14, dose 2
Symptoms: For about two days on and off I had a sharp pain on the top of my right foot, short of like muscle spasm, but sharply painful. But it has not happened in a couple of days, so I think it is over.
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 | Discomfort | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Mental impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release