Y6L-18530-07113
5 vaccinations
6 coded responses
43 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 954 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Middle insomnia — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I woke up at 3am and couldnt go back to sleep. This happened for the last two nights.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-04
-
2021-10-26
Dose 3 — Moderna
- 2022-03-04
-
2022-04-04
Dose 4 — Moderna
-
2022-04-04
Survey response — day 0, dose 4MedDRA: Injection site pain, Injection site pruritus — Feeling: GoodFree text: My arm was a little sore and itches a little where injectedMedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Actually yesterday after I said I was fine I got very tired. Today I'm fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-06
- 2022-04-07
- 2022-04-09
- 2022-04-10
-
2022-04-13
Survey response — day 7, dose 4MedDRA: Erythema, Pain in extremity — Feeling: GoodFree text: The top of my foot is red and hurts, but I don't think it's Covid related.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
-
2022-04-25
Survey response — day 21, dose 4MedDRA: Abdominal pain upper — Feeling: FairFree text: My stomach has been hurtingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-09
-
2022-05-18
Survey response — day 42, dose 4MedDRA: Blood pressure increased — Feeling: FairFree text: My blood pressure has been up. I'm trying to lower it on my own before seeing a doctor. I'm giving it five days.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-04
-
2022-09-08
Dose 5 — ModernaCo-administered: Flu
- 2022-10-03
- 2022-10-11
- 2022-10-13
- 2022-10-22
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-08 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I woke up at 3am and couldnt go back to sleep. This happened for the last two nights.
Release 11 — day 0, dose 4
Systemic reaction (other): My arm was a little sore and itches a little where injected
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Actually yesterday after I said I was fine I got very tired. Today I'm fine.
Release 11 — day 7, dose 4
Systemic reaction (other): The top of my foot is red and hurts, but I don't think it's Covid related.
Release 11 — day 21, dose 4
Symptoms: My stomach has been hurting
Release 11 — day 42, dose 4
Symptoms: My blood pressure has been up. I'm trying to lower it on my own before seeing a doctor. I'm giving it five days.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release