Y3A-11492-82286
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 894 / NV
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Dose 1 — Moderna
-
2021-05-01
Registered in v-safe
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Feeling jittery, Night sweats — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessFree text: Day of my shot felt jittery also woke up sweating 2nightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
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2021-05-13
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site erythema, Injection site pruritus — Feeling: FairFree text: My red spot at the injection site was gone for quite awhile and now its back and 3 times the size as it was originally. Its a little itchy but not bad. Its just odd how it returned. Im tired but not sure thats related or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
-
2021-05-27
Dose 2 — Moderna
-
2021-05-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-03
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-10
Survey response — day 14, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just dont feel great. Tired I havent felt great for the last 4 days..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-06-24
- 2021-07-01
-
2021-07-10
Survey response — day 42, dose 2MedDRA: Fatigue, Sluggishness — Feeling: FairFree text: Im just warn out faster maybe heat maybe allergies just sluggishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
- 2022-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Day of my shot felt jittery also woke up sweating 2nights
Release 8 — day 14, dose 1
Symptoms: My red spot at the injection site was gone for quite awhile and now its back and 3 times the size as it was originally. Its a little itchy but not bad. Its just odd how it returned. Im tired but not sure thats related or not.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Release 9 — day 14, dose 2
Symptoms: I just dont feel great. Tired I havent felt great for the last 4 days..
Release 9 — day 42, dose 2
Symptoms: Im just warn out faster maybe heat maybe allergies just sluggish
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release