5UY-19299-40846
3 vaccinations
6 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 121 / NY
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Entire left arm is just sore like if I slept on it- mild painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: All of these symptoms happened in the past 24 hrs. Right now Im about 45 hrs post shot and the achiness and fever are gone and I just am still feeling tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
-
2021-09-29
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes in armpit near injection site have been swollen for 48 hrs, less swollen today than yesterday. Started about 24 hrs post shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: Had a recurrent sinus infection throughout the month of aprilMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: Cough, Ear infection, Viral infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection, viral infection (non COVID) with coughMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Entire left arm is just sore like if I slept on it- mild pain
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): All of these symptoms happened in the past 24 hrs. Right now Im about 45 hrs post shot and the achiness and fever are gone and I just am still feeling tired
Release 9 — 6 months, dose 2
Symptoms: Sinus infection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes in armpit near injection site have been swollen for 48 hrs, less swollen today than yesterday. Started about 24 hrs post shot.
Release 11 — 6 months, dose 3
Symptoms: Had a recurrent sinus infection throughout the month of april
Release 12 — 12 months, dose 3
Symptoms: Ear infection, viral infection (non COVID) with cough
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 | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release