Y8H-21135-80485
4 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 231 / VA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-02-14
Registered in v-safe
- 2021-02-16
- 2021-02-18
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2021-02-25
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness, Musculoskeletal stiffness, Paraesthesia, Peripheral swelling — Feeling: Poor · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fingers on left hand were tingly and stiff this morning, and felt swollen, but didnt look swollen. Took a few hours before it completely went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension, Oral mucosal exfoliation, Skin exfoliation — Feeling: FairFree text: Blood pressure was a little high and last night I noticed my skin inside of my cheeks and gums is peeling off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Extremely bad headache not usual for me to have one this bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 21, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: I had some joint pain after the shot, and it went away except for in both of my thumbs, where its become worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 28, dose 2MedDRA: Feeling abnormal, Malaise, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: FairFree text: I doubt it is related to the vaccine, but I have developed sinus drainage and that is making my throat sore. I feel lousy, but Im at work because I dont have a sub. The question below doesnt have I feel bad and need to rest but cant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 35, dose 2MedDRA: Cough, Headache, Nasal congestion, Rhinorrhoea — Feeling: Good · Be unable to workFree text: Large amounts of nasal congestion, runny nose, headache (almost daily), cough from congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-05-27
- 2021-08-28
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2021-11-13
Dose 3 — Moderna
- 2022-02-25
- 2022-05-14
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2022-08-04
Dose 4 — Moderna
- 2022-11-13
- 2023-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-08-04 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fingers on left hand were tingly and stiff this morning, and felt swollen, but didnt look swollen. Took a few hours before it completely went away.
Systemic reaction (other): Blood pressure was a little high and last night I noticed my skin inside of my cheeks and gums is peeling off.
Systemic reaction (other): Extremely bad headache not usual for me to have one this bad.
Release 5 — day 21, dose 2
Symptoms: I had some joint pain after the shot, and it went away except for in both of my thumbs, where its become worse.
Release 6 — day 28, dose 2
Symptoms: I doubt it is related to the vaccine, but I have developed sinus drainage and that is making my throat sore. I feel lousy, but Im at work because I dont have a sub. The question below doesnt have I feel bad and need to rest but cant.
Release 6 — day 35, dose 2
Symptoms: Large amounts of nasal congestion, runny nose, headache (almost daily), cough from congestion.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Oral mucosal exfoliation | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release