Y5H-92496-99289
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Mild muscle pain at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Pollakiuria — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Starting 12 hours after vaccine, Ive had difficulty sleeping and frequent urination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: I forgot to say yesterday that I had redness around the injection site, about the size of a softball. It has gotten better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-19
Survey response — 3 months, dose 2MedDRA: Arthralgia, Rash macular — Feeling: FairFree text: Left hip joint hurts for unknown reason these last three weeks. Then a small red blotch on my left forearm last week which is still evident, and two red blotches on my left forearm appeared two days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-18
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild muscle pain at injection site
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Starting 12 hours after vaccine, Ive had difficulty sleeping and frequent urination.
Systemic reaction (other): I forgot to say yesterday that I had redness around the injection site, about the size of a softball. It has gotten better today.
Release 9 — 3 months, dose 2
Symptoms: Left hip joint hurts for unknown reason these last three weeks. Then a small red blotch on my left forearm last week which is still evident, and two red blotches on my left forearm appeared two days ago.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release