ZQ6-26638-31921
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 134 / NY
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tender to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Sleep disorder — Feeling: Good · ChillsFree text: Clammy feet in the middle of the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-20
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am experiencing a very sore arm where the vaccine was given. So much so that i am up quite often during the night with arm pain. It has been 2 weeks since my 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2022-04-06
Survey response — 12 months, dose 2MedDRA: Palpitations, Photopsia — Feeling: GoodFree text: White flashes when i move my head at night. Not sure if this is a result of the Maderna vaccine. The booster i received caused my heart to race shortly after the shot. As a result, i am very leery to get another vaccine/booster.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tender to touch
Systemic reaction (other): Clammy feet in the middle of the night
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ringing in ears
Release 7 — day 14, dose 2
Symptoms: I am experiencing a very sore arm where the vaccine was given. So much so that i am up quite often during the night with arm pain. It has been 2 weeks since my 2nd shot.
Release 11 — 12 months, dose 2
Symptoms: White flashes when i move my head at night. Not sure if this is a result of the Maderna vaccine. The booster i received caused my heart to race shortly after the shot. As a result, i am very leery to get another vaccine/booster.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Photopsia | · | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release