Y5W-29438-83015
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — day 14, dose 1MedDRA: Injection site pain, Myalgia, Pain in extremity — Feeling: GoodFree text: Pain of the injection site starting at the same day of the injection, last for three days. Left leg muscle pain starting 5 days after injection, last for two days. Left leg muscle pain on and off after that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Abdominal painFree text: Dont know if it is related to vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-27
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2021-04-03
Survey response — day 21, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Feel itch on the skin from time to time and dont know if it is related to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-13
- 2021-09-11
-
2022-01-05
Dose 3 — Moderna
- 2022-01-05
-
2022-01-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-01-08
-
2022-01-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Abdominal painAdult check-in
- 2022-01-10
- 2022-01-14
-
2022-01-22
Survey response — day 14, dose 3MedDRA: Sensory disturbance — Feeling: GoodFree text: Abnormal sensation on left side of my faceMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Survey response — day 21, dose 3MedDRA: Palpitations — Feeling: GoodFree text: Feel palpitations after vaccination, less noticeable this week.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2022-01-05 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: Pain of the injection site starting at the same day of the injection, last for three days. Left leg muscle pain starting 5 days after injection, last for two days. Left leg muscle pain on and off after that.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dont know if it is related to vaccination
Release 6 — day 21, dose 2
Symptoms: Feel itch on the skin from time to time and dont know if it is related to vaccination.
Release 11 — day 14, dose 3
Symptoms: Abnormal sensation on left side of my face
Release 11 — day 21, dose 3
Symptoms: Feel palpitations after vaccination, less noticeable this week.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release