6XE-92806-17418
2 vaccinations
5 coded responses
7 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 601 / IL
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
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2021-04-16
Dose 2 — Moderna
-
2021-05-04
Registered in v-safe
- 2021-05-04
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2021-05-11
Survey response — day 21, dose 2MedDRA: Condition aggravated, Impaired work ability, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: These shots enhances your illness I thought I was having a STROKE So did the doctors I can do 15 or 25 minutes of work that's it then I'm in the bed this is sad no one should be forced to take anything especially a shot that taken our livesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-23
Survey response — day 35, dose 2MedDRA: Dizziness, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still tired & dizzyHead achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: The arms that I got the shot in start hurting me the 24th it was like I just took the shots all over again and they finally stopped Wednesday but they kind of soft sore today why I don't knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-18
Survey response — 3 months, dose 2MedDRA: Arthralgia, Rash, Vision blurred — Feeling: FairFree text: Bumps pain in the left shoulder eyes blurredMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: The arm I got the vaccines in hurt just like I just took the shots 3 days agoMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Free text
Release 8 — day 21, dose 2
Symptoms: These shots enhances your illness I thought I was having a STROKE So did the doctors I can do 15 or 25 minutes of work that's it then I'm in the bed this is sad no one should be forced to take anything especially a shot that taken our lives
Release 8 — day 35, dose 2
Symptoms: Still tired & dizzyHead aches
Release 8 — day 42, dose 2
Symptoms: The arms that I got the shot in start hurting me the 24th it was like I just took the shots all over again and they finally stopped Wednesday but they kind of soft sore today why I don't know
Release 9 — 3 months, dose 2
Symptoms: Bumps pain in the left shoulder eyes blurred
Release 10 — 6 months, dose 2
Symptoms: The arm I got the vaccines in hurt just like I just took the shots 3 days ago
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release