6ZK-23609-76934
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 400 / KY
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: PainFree text: Didnt receive check-in text for Wednesday but I developed severe nausea that morning. Gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Difficulties focusingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Disturbance in attention, Fatigue, Memory impairment — Feeling: FairFree text: Difficulties focusing, difficulties with short term memory, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Disturbance in attention, Fatigue — Feeling: GoodFree text: Fatigue, difficulties focusingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Fatigue, Mobility decreased — Feeling: FairFree text: Fatigue, difficulties getting out of bedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-29
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Didnt receive check-in text for Wednesday but I developed severe nausea that morning. Gone now.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulties focusing
Release 5 — day 14, dose 2
Symptoms: Difficulties focusing, difficulties with short term memory, fatigue
Release 6 — day 21, dose 2
Symptoms: Fatigue, difficulties focusing
Release 6 — day 28, dose 2
Symptoms: Fatigue, difficulties getting out of bed
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release