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Y35-33837-58051

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
115 / NY
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-27
    Registered in v-safe
  3. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Injection site rash — Feeling: Good
    Free text: Rash on my arm surrounding injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-10
    Survey response — day 28, dose 1
    MedDRA: Rash macular — Feeling: Good
    Free text: The bottom of my left leg turned blotchy when I stood for two days and then it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-11
    Dose 2 — Moderna
  7. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Burning sensation, Fatigue, Musculoskeletal chest pain, Neck pain, Vomiting — Feeling: Fair · Site: Redness · Chills, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: The day after the shot I felt as if my feet were burning, I was dry heaving most of the day and threw up. I was nauseous, exhausted, and felt as if someone was stabbing me in my ribs. On day 3-5 I had horrible pain in my neck and couldnt turn my head. Tomorrow will be one week since the vaccine and although I feel significantly better I am still hit with horrible fatigue after doing a normal activity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-11Moderna

Free text

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Rash on my arm surrounding injection site.

Release 5 — day 28, dose 1

2021-03-10

Symptoms: The bottom of my left leg turned blotchy when I stood for two days and then it went away.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): The day after the shot I felt as if my feet were burning, I was dry heaving most of the day and threw up. I was nauseous, exhausted, and felt as if someone was stabbing me in my ribs. On day 3-5 I had horrible pain in my neck and couldnt turn my head. Tomorrow will be one week since the vaccine and although I feel significantly better I am still hit with horrible fatigue after doing a normal activity.

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

FieldPreferred term2021-092023-042024-11
SDInjection site rash ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release