XYH-32261-85870
2 vaccinations
11 coded responses
23 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
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2021-01-14
Health check-in — 0 day, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Ear pruritus, Oropharyngeal pain — Feeling: Fair · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-21
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2021-01-28
Survey response — 14 day, dose 1MedDRA: Chills, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-05
- 2021-02-11
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2021-02-17
Dose 2 — Moderna
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Pain, Swelling · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
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2021-03-03
Survey response — 14 day, dose 2MedDRA: Fatigue — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-10
Survey response — 21 day, dose 2MedDRA: Headache — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-17
Survey response — 28 day, dose 2MedDRA: Abdominal pain upper, Fatigue — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-24
Survey response — 35 day, dose 2MedDRA: Headache, Insomnia — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-01
Survey response — 42 day, dose 2MedDRA: Headache — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-19
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2021-08-18
Survey response — 6 month, dose 2MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Free text
Release 2
Systemic reaction (other): A little brain Fog
Systemic reaction (other): Sore throat and itchy inner ears
Release 3
Symptoms: Very bad headache, body chills, low level nausea and fatigue. It lasted for 2 days but primarily in the early evening to early morning. I feel better today.
Release 4
Systemic reaction (other): Dizziness and ear pain
Systemic reaction (other): Ear pain - mild
Release 5
Symptoms: Fatigue
Symptoms: Headaches come and go, its odd.
Symptoms: Fatigue, stomach cramps
Release 6
Symptoms: Headaches continue, trouble sleeping, immune system feels taxed
Symptoms: Headaches are continuing. I had antibody testing through Quest 4 weeks after my 2nd vaccine which was negative. I am now being sent to a specialized lab for repeat testing at 6-8 weeks post 2nd vaccine.
Release 9
Symptoms: Fatigue, headache, ear pain, sore throat, body aches staring 14 hours after the 3rd vaccine to 48 hours post vaccine 8/13/21).
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Ear pruritus | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release