6XM-16587-33196
4 vaccinations
9 coded responses
47 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
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2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
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2021-04-12
Dose 2 — Moderna
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2021-04-12
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Fuzzy head feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pyrexia, Self-medication, Skin sensitisation — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My skin is very sensitive and hurts when I shower and use my shower puff or just push moderately. All over my body stings when I wash now. Arms, legs, torso, breasts, buttocks. So very odd. Also, the fever is not controlled by 800mgs of ibuprofen alone. Only alternating ibuprofen and 500mg of acetaminophens keeps the fever in check down to 100.2. When the fever is high (which it was at 2am), the body aches are so bad I couldnt sleep. Took 2 hours for those to go away enough to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Gastrointestinal pain, Pyrexia, Self-medication — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I had no symptoms in the morning, even off ibuprofen and acetaminophen. But by noon I had intestinal cramps. And then the fever came back at 1:30 so Im back on the meds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Disorientation — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Occasional disorientation feeling in my head. That sense of being off. Started at 2:00 pm, just like symptoms yesterday. But it seems to be gone already. And no fever today, yay!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-10-29
Dose 3 — Moderna
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2021-10-29
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen supraclavical lymph node on the same side as where I got the vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: My supraclavical lymph nodes on the same side as where I got the vaccine are still swollen. I forgot to mention them yesterday, but they're the same as before.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Supraclavical lymph nodes on same side of neck as the vaccine are still a bit swollen, but less so than before.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swelling of supraclavical lymph nodes is goneMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — day 14, dose 3MedDRA: Office visit, Vulvovaginal ulceration — Feeling: GoodFree text: Lipshütz ulcers on my inner labia popped up Sunday, 10/31, and lasted until about Sunday 11/7. At first I thought I might have herpes, but swab cultures and blood test came back negative. GYN confirmed they're most likely Lipshütz due to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
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2022-10-05
Dose 4 — Moderna
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-20
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-05 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Fuzzy head feeling.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My skin is very sensitive and hurts when I shower and use my shower puff or just push moderately. All over my body stings when I wash now. Arms, legs, torso, breasts, buttocks. So very odd. Also, the fever is not controlled by 800mgs of ibuprofen alone. Only alternating ibuprofen and 500mg of acetaminophens keeps the fever in check down to 100.2. When the fever is high (which it was at 2am), the body aches are so bad I couldnt sleep. Took 2 hours for those to go away enough to sleep.
Systemic reaction (other): I had no symptoms in the morning, even off ibuprofen and acetaminophen. But by noon I had intestinal cramps. And then the fever came back at 1:30 so Im back on the meds.
Systemic reaction (other): Occasional disorientation feeling in my head. That sense of being off. Started at 2:00 pm, just like symptoms yesterday. But it seems to be gone already. And no fever today, yay!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen supraclavical lymph node on the same side as where I got the vaccine
Systemic reaction (other): My supraclavical lymph nodes on the same side as where I got the vaccine are still swollen. I forgot to mention them yesterday, but they're the same as before.
Systemic reaction (other): Supraclavical lymph nodes on same side of neck as the vaccine are still a bit swollen, but less so than before.
Release 10 — day 7, dose 3
Systemic reaction (other): Swelling of supraclavical lymph nodes is gone
Release 10 — day 14, dose 3
Symptoms: Lipshütz ulcers on my inner labia popped up Sunday, 10/31, and lasted until about Sunday 11/7. At first I thought I might have herpes, but swab cultures and blood test came back negative. GYN confirmed they're most likely Lipshütz due to vaccine. cut off by CDC
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 | Office visit | · | · | ✓ |
| SD | Vulvovaginal ulceration | · | · | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin sensitisation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release