JY8-12017-06742
3 vaccinations
8 coded responses
28 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 334 / FL
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
- 2021-04-05
- 2021-04-14
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal painFree text: Eyes hurt and were quite bloodshotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Fatigue or tirednessFree text: Was sweating a lot with minimal exertionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-01
- 2021-05-02
- 2021-05-10
- 2021-05-17
- 2021-05-31
- 2021-06-07
-
2021-07-26
Survey response — 3 months, dose 2MedDRA: Menstruation delayed, Menstruation irregular — Feeling: GoodFree text: Late and irregular periodMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-25
- 2022-04-26
-
2022-10-02
Dose 3 — ModernaCo-administered: Flu
-
2022-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2022-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Severe -Swollen lymph nodes armpit of arm injectedMedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Headache, Fatigue or tiredness, NauseaFree text: Swollen lymph nodes armpit same side as injection- mildMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
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2022-10-16
Survey response — day 14, dose 3MedDRA: Micturition urgency, Pollakiuria — Feeling: GoodFree text: Frequent urination/urgencyMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — day 21, dose 3MedDRA: Bladder irritation, Cystitis noninfective, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bladder irritation/inflammation · Healthcare visit (other): ObgynMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-25
- 2022-11-02
- 2022-11-06
- 2022-11-13
- 2023-01-01
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2023-04-02
Survey response — 6 months, dose 3MedDRA: Office visit, Urinary hesitation, Urinary retention — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-03
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2022-10-02 | Moderna | Flu |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Eyes hurt and were quite bloodshot
Systemic reaction (other): Was sweating a lot with minimal exertion
Release 9 — 3 months, dose 2
Symptoms: Late and irregular period
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Severe -Swollen lymph nodes armpit of arm injected
Systemic reaction (other): Swollen lymph nodes armpit same side as injection- mild
Release 12 — day 14, dose 3
Symptoms: Frequent urination/urgency
Release 12 — day 21, dose 3
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Bladder irritation | · | · | ✓ |
| SD | Cystitis noninfective | · | · | ✓ |
| SD | Menstruation delayed | ✓ | · | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Micturition urgency | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Urinary hesitation | · | · | ✓ |
| SD | Urinary retention | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release