QYL-10199-76425
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 181 / PA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
- 2021-01-21
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-11
Dose 2 — Moderna
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Injection site erythema, Injection site pruritus, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Had fatigue, chills,extreme joint pain for started12 hrs after injection.lasted for 24-36 hrs. Pain in arm , swelling itching redness at siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-17
- 2021-03-18
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Cough, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Since 7/10 experienced coughing- hospitalized x 2 days3rd round of steroids Was on antibiotic, on daily allergy meds and inhalerMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-16
- 2021-08-19
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had fatigue, chills,extreme joint pain for started12 hrs after injection.lasted for 24-36 hrs. Pain in arm , swelling itching redness at site
Release 9 — 6 months, dose 2
Symptoms: Since 7/10 experienced coughing- hospitalized x 2 days3rd round of steroids Was on antibiotic, on daily allergy meds and inhaler
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 | Hospitalisation | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release