UJY-32615-68599
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 910 / CA
- Registered
- 2021-01-07
- Relationship
- Self
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-08
- 2021-01-16
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Skin exfoliation — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Peeling/redness around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to workFree text: Very dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy spellsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body achesAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Peeling/redness around injection site
Systemic reaction (other): Very dizzy
Systemic reaction (other): Dizzy spells
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release