Z6G-10716-16696
1 vaccination
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 770 / TX
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-20
Registered in v-safe
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2021-03-20
Dose 1 — Moderna
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2021-03-20
Survey response — day 0, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tirednessFree text: Sneezing fits & runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Poor · Chills, Headache, Joint pains · Be unable to do your normal daily activitiesFree text: Shot was given at top of left arm. Pain in shoulder is very bad. Can't move it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Nausea — Feeling: Fair · Nausea · Be unable to do your normal daily activitiesFree text: There's been a terribly bitter taste in my mouth & back of my throat for a few days. Maybe that's what's making the nausea so bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
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2021-03-27
Survey response — day 7, dose 1MedDRA: Chest discomfort — Feeling: Fair · Chills, Nausea · Be unable to do your normal daily activitiesFree text: Chest feels heavy & feels like work to breathe. Will call doctor if gets worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 14, dose 1MedDRA: Chills, Dizziness, Dysstasia, Throat clearing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Scratchy throat, needing to clear throat frequently. Chills worse.Dizzy spells. Sometimes making me unable to stay upright.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Sneezing fits & runny nose
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Shot was given at top of left arm. Pain in shoulder is very bad. Can't move it.
Systemic reaction (other): There's been a terribly bitter taste in my mouth & back of my throat for a few days. Maybe that's what's making the nausea so bad.
Release 6 — day 7, dose 1
Systemic reaction (other): Chest feels heavy & feels like work to breathe. Will call doctor if gets worse.
Release 6 — day 14, dose 1
Symptoms: Scratchy throat, needing to clear throat frequently. Chills worse.Dizzy spells. Sometimes making me unable to stay upright.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysstasia | ✓ | ✓ | ✓ |
| SD | Throat clearing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release