4YP-13133-18708
4 vaccinations
9 coded responses
51 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 894 / NV
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-01
Registered in v-safe
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2021-04-01
Dose 1 — Moderna
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2021-04-01
Survey response — day 0, dose 1MedDRA: Blood pressure increased — Feeling: GoodFree text: Slightly elevated blood pressure. Higher than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Blood pressure still spiking but down from yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased — Feeling: GoodFree text: Blood pressure returning toward normal, occasional spikes not related to activity. spikeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
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2021-04-08
Health check-in — day 7, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-15
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Headache, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, chills, body ache & fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
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2021-05-02
Dose 2 — Moderna
- 2021-05-06
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-09
Health check-in — day 7, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-23
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2021-05-30
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: May be totally unrelated, been experiencing joint pain since receiving second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joints still achy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-08-01
- 2021-11-02
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2021-11-22
Dose 3 — Moderna
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2021-11-22
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-30
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
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2022-01-03
Survey response — day 42, dose 3MedDRA: Influenza — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I think that despite getting a flu shot, I and my family caught the flu.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Pain, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Achy, vomiting, chills, cough,MedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Survey response — 6 months, dose 3MedDRA: Influenza like illness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flu like symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Dose 4 — ModernaCo-administered: Flu
- 2022-10-14
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2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint painsAdult check-in
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2022-10-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
- 2022-10-20
- 2022-10-22
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-05-02 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-10-14 | Moderna | Flu |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Slightly elevated blood pressure. Higher than usual.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Blood pressure still spiking but down from yesterday.
Systemic reaction (other): Blood pressure returning toward normal, occasional spikes not related to activity. spike
Release 7 — day 14, dose 1
Symptoms: Headache, chills, body ache & fatigue
Release 8 — day 28, dose 2
Symptoms: May be totally unrelated, been experiencing joint pain since receiving second shot.
Release 8 — day 35, dose 2
Symptoms: Joints still achy.
Release 10 — day 42, dose 3
Symptoms: I think that despite getting a flu shot, I and my family caught the flu.
Release 11 — 3 months, dose 3
Symptoms: Achy, vomiting, chills, cough,
Release 11 — 6 months, dose 3
Symptoms: Flu like symptoms
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release