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
-
2021-02-10
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Rash on my arm surrounding injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Survey response — day 28, dose 1MedDRA: Rash macular — Feeling: GoodFree 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
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2021-03-11
Dose 2 — Moderna
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-03-18
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Rash on my arm surrounding injection site.
Release 5 — day 28, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release