Q6Y-17048-21191
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 109 / NY
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 21, dose 2MedDRA: Dizziness, Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness and light headed occasionally.Soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Survey response — day 28, dose 2MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: GoodFree text: Continued mild soreness at injection site, hurts slightly when moving the arm that injection was given into.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Dizziness, Pregnancy — Feeling: GoodFree text: Light headed on occasion.PregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Free text
Release 8 — day 21, dose 2
Symptoms: Dizziness and light headed occasionally.Soreness at injection site.
Release 8 — day 28, dose 2
Symptoms: Continued mild soreness at injection site, hurts slightly when moving the arm that injection was given into.
Release 9 — 3 months, dose 2
Symptoms: Light headed on occasion.Pregnant
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ○ |
| SD | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release