Y6N-18227-58120
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 605 / IL
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Nausea, Diarrhea · Be unable to workAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Headaches, forehead/temples. Every day for the last 4 days. Not debilitating but distracting. Ibuprofen fixes it and they are gone the next morning. Seem to build in the afternoon. Unsure if its related but I dont generally suffer from headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-21
Survey response — day 28, dose 2MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair · Be unable to workFree text: Nasal congestion, chest congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-04
- 2021-05-21
- 2021-08-20
-
2021-12-03
Dose 3 — Moderna
-
2022-02-19
Survey response — 12 months, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: GoodFree text: Itchy/sore throat, off and on for a day at a time then goes away.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Survey response — 3 months, dose 3MedDRA: Asthma, COVID-19, Hypersensitivity, Malaise, Menstruation irregular, Nerve compression, Pre-existing disease, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just don't feel well since having covid in January. Little issues popping up, a pinched nerve, worsened allergies, worsened skin hives, worsened asthma, irregular period cycle.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Survey response — 6 months, dose 3MedDRA: Herpes zoster, Skin disorder — Feeling: Good · Be unable to work or attend schoolFree text: I had shingles and skin issuesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Headaches, forehead/temples. Every day for the last 4 days. Not debilitating but distracting. Ibuprofen fixes it and they are gone the next morning. Seem to build in the afternoon. Unsure if its related but I dont generally suffer from headache
Release 6 — day 28, dose 2
Symptoms: Nasal congestion, chest congestion
Release 11 — 12 months, dose 2
Symptoms: Itchy/sore throat, off and on for a day at a time then goes away.
Release 11 — 3 months, dose 3
Symptoms: I just don't feel well since having covid in January. Little issues popping up, a pinched nerve, worsened allergies, worsened skin hives, worsened asthma, irregular period cycle.
Release 11 — 6 months, dose 3
Symptoms: I had shingles and skin issues
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 | Asthma | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Skin disorder | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release