XY6-26242-31105
3 vaccinations
10 coded responses
37 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 108 / NY
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-17
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-02
-
2021-03-09
Survey response — 14 day, dose 2MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-17
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-05-25
Survey response — 3 month, dose 2MedDRA: Breast pain, Pain in extremity — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-08-27
Survey response — 6 month, dose 2MedDRA: Fatigue, Irritability, Muscular weakness — Feeling: FairMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-11-17
Dose 3 — Moderna
-
2021-11-17
Health check-in — 0 day, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-11-18
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-11-27
Survey response — 7 day, dose 3MedDRA: Cough — Feeling: Fair · Site: Swelling · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-12-01
Survey response — 14 day, dose 3MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2021-12-08
- 2021-12-19
-
2021-12-24
Survey response — 35 day, dose 3MedDRA: Condition aggravated, Hypoaesthesia, Pre-existing disease, Tremor — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-12-31
-
2022-02-18
Survey response — 3 month, dose 3MedDRA: Headache, Pain — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Free text
Release 2
Systemic reaction (other): Soreness at the injection site.
Release 5
Symptoms: Tired & back aches
Release 8
Symptoms: Shooting pain in breast, leg & arm. Randomly moving through the body. Mostly during the second half of the day into the evening.
Release 9
Symptoms: Tiredness, muscle weakness & irritability.
Release 10
Systemic reaction (other): Started coughing Saturday.
Systemic reaction (other): Feet feel swollen & hurt
Systemic reaction (other): Coughing
Symptoms: Coughing, runny nose & tired.
Symptoms: Hands periodically shaking & lose of some feeling in my feet. Never had any neurological symptoms prior to bring vaccinated. Health issues more pronounced following booster shot.
Release 11
Symptoms: Headaches, bodyache
Free-text releases are not linked to a specific 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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Irritability | ✓ | · | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release