Z6S-15445-58890
4 vaccinations
9 coded responses
54 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 468 / IN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: I do have a bruise at the injection sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-12
Survey response — day 7, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: I have a very small bump at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: I had a low grade headache most of the day on day 7 and day 8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Insomnia last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-20
Survey response — day 14, dose 2MedDRA: Chills, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chills and fever starting on day 13MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
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2021-10-22
Dose 3 — Moderna
- 2021-10-22
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2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I Feel cold, not chillsMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema — Feeling: Good · Site: Pain, RednessFree text: Red at injection site just appeared is 1 inch wide and 2 inches in lengthMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms — Feeling: Good · Site: RednessFree text: I had a charley horse in the middle of the night the last 2 nights. I haven't had one in monthsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-23
- 2022-04-22
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2022-09-16
Dose 4 — Moderna
- 2022-09-16
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2022-09-17
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Very vivid dreams last night. I had this before after my first vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-22
- 2022-09-23
- 2022-10-02
- 2022-10-07
- 2022-10-15
- 2022-10-21
- 2022-10-28
- 2022-12-18
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I do have a bruise at the injection sight
Release 4 — day 7, dose 1
Systemic reaction (other): I have a very small bump at the injection site
Release 4 — day 14, dose 1
Symptoms: I had a low grade headache most of the day on day 7 and day 8
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia last night
Release 6 — day 14, dose 2
Symptoms: Chills and fever starting on day 13
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I Feel cold, not chills
Systemic reaction (other): Red at injection site just appeared is 1 inch wide and 2 inches in length
Systemic reaction (other): I had a charley horse in the middle of the night the last 2 nights. I haven't had one in months
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Very vivid dreams last night. I had this before after my first vaccine
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release