Y4W-60313-31078
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: GoodFree text: Sharp pain on right side of head. It was a shooting pain.Not sure if it had anything to do with the shot or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: GoodFree text: Two more occurrences of sharp pain on the right side of my head. These came on suddenly lasted 3 to 5 seconds and then disappeared. This occurred about 6:15 p.m. and another at 7:00 p.m. .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Occasional pains in my head. They only last for a few seconds. And they are not sharp pains like I originally experiencedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-07-08
- 2021-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sharp pain on right side of head. It was a shooting pain.Not sure if it had anything to do with the shot or not
Systemic reaction (other): Two more occurrences of sharp pain on the right side of my head. These came on suddenly lasted 3 to 5 seconds and then disappeared. This occurred about 6:15 p.m. and another at 7:00 p.m. .
Release 6 — day 14, dose 1
Symptoms: Occasional pains in my head. They only last for a few seconds. And they are not sharp pains like I originally experienced
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release