Y3L-10219-08952
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-05-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-26
Registered in v-safe
-
2021-05-26
Dose 1 — Moderna
- 2021-05-26
-
2021-05-28
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Fatigue, Nausea, Vomiting — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: The vomiting was the 1st night. The nausea/stomach pains and fatigue were for 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-02
- 2021-06-09
- 2021-06-16
-
2021-06-24
Dose 2 — Moderna
-
2021-06-25
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: Water from tap, filtered fridge, and bottled tasted very sweet, like someone put a teaspoon of sugar in it. This lasted for 2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Nausea, Abdominal painAdult check-in
-
2021-06-28
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Site: Pain · HeadacheFree text: Mild coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-10
- 2021-07-15
-
2021-07-22
Survey response — day 28, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: FairFree text: At the injection site, it is red, itchy theres a small raised bump and its a little bit tender when touched.MedDRA releases: 2024-11 · check-in free text available
- 2021-07-29
- 2021-08-05
- 2021-09-23
-
2021-12-23
Survey response — 6 months, dose 2MedDRA: COVID-19, Cough — Feeling: FairFree text: I've had a cough ever since I've had Covid. It's minor but I didn't have it before.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-26 | Moderna | |
| 2 | 2021-06-24 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): The vomiting was the 1st night. The nausea/stomach pains and fatigue were for 2 days.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Water from tap, filtered fridge, and bottled tasted very sweet, like someone put a teaspoon of sugar in it. This lasted for 2 hours.
Systemic reaction (other): Mild cough
Release 9 — day 28, dose 2
Symptoms: At the injection site, it is red, itchy theres a small raised bump and its a little bit tender when touched.
Release 10 — 6 months, dose 2
Symptoms: I've had a cough ever since I've had Covid. It's minor but I didn't have it before.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release