Y4U-22282-35093
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 370 / TN
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased, Chills, Hyperhidrosis, Nausea, Pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Signed up late for this. I did experience a 24 hr period the day after my injection (1/27/21) in which I had nausea, severe chills followed by sweats, moderate body aches/pains, and low grade tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-10
- 2021-05-27
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Pallor, Peripheral coldness, Visual impairment — Feeling: FairFree text: Peripheral visual disturbances that appear as dark objects which disappear when I look directly in the direction where they appear to be in my peripheral vision. I have also experienced coldness and paleness in hands, right more than left.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Signed up late for this. I did experience a 24 hr period the day after my injection (1/27/21) in which I had nausea, severe chills followed by sweats, moderate body aches/pains, and low grade temp
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 9 — 6 months, dose 2
Symptoms: Peripheral visual disturbances that appear as dark objects which disappear when I look directly in the direction where they appear to be in my peripheral vision. I have also experienced coldness and paleness in hands, right more than left.
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 | Pallor | ✓ | · | ✓ |
| SD | Peripheral coldness | ✓ | · | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release