Y8H-26649-76734
5 vaccinations
8 coded responses
30 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 447 / OH
- Registered
- 2021-10-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-30
Dose 1 — Moderna
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2021-04-27
Dose 2 — Moderna
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2021-10-19
Registered in v-safe
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2021-10-19
Dose 3 — ModernaCo-administered: Flu
- 2021-10-19
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2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Eructation — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Belching excessivelyMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-10-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-10-24
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throat, ear acheMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
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2021-11-02
Survey response — day 14, dose 3MedDRA: Oropharyngeal pain, Pain in extremity, Paranasal sinus discomfort, Upper-airway cough syndrome — Feeling: GoodFree text: A few times just some sharp pain in my right leg just below knee. Sinuses acting up with sore throat, sinus post nasal drainage, sinus pressure. Just mild though.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — day 21, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: My sinuses, my arthritis, and my syndromes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — day 28, dose 3MedDRA: Fungal infection, Unevaluable event — Feeling: FairFree text: Sinuses and a yeast infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Health check-in — day 35, dose 3Feeling: Fair · Be unable to do your normal daily activitiesFree text: My depression is acting up. So all the symptoms of it including fatigue.Adult check-in · check-in free text available
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2021-11-30
Survey response — day 42, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My sjogen syndrome if flaring up. Eye, nose, mouth areas numb. Normal and have history of symptoms with sjogen syndrome. Carpal tunnel syndrome flared up.MedDRA releases: 2024-11 · check-in free text available
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2022-01-18
Survey response — 3 months, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Im tired and fatigued but that's normal forme as well as tge ear pain, nostrils bleeding, and sore throat. Thats all normal for me.MedDRA releases: 2024-11 · check-in free text available
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2022-03-21
Dose 4 — Moderna
- 2022-04-19
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2022-09-30
Dose 5 — ModernaCo-administered: Flu
- 2022-09-30
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2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
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2022-10-06
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-12
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2022-12-30
Survey response — 3 months, dose 5MedDRA: Sinusitis — Feeling: PoorFree text: I have a sinus infection.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | No |
| 2 | 2021-04-27 | Moderna | No |
| 3 | 2021-10-19 | Moderna | Flu |
| 4 | 2022-03-21 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Belching excessively
Systemic reaction (other): Sore throat, ear ache
Release 10 — day 14, dose 3
Symptoms: A few times just some sharp pain in my right leg just below knee. Sinuses acting up with sore throat, sinus post nasal drainage, sinus pressure. Just mild though.
Release 10 — day 21, dose 3
Symptoms: My sinuses, my arthritis, and my syndromes.
Release 10 — day 28, dose 3
Symptoms: Sinuses and a yeast infection
Release 10 — day 42, dose 3
Symptoms: My sjogen syndrome if flaring up. Eye, nose, mouth areas numb. Normal and have history of symptoms with sjogen syndrome. Carpal tunnel syndrome flared up.
Release 10 — 3 months, dose 3
Symptoms: Im tired and fatigued but that's normal forme as well as tge ear pain, nostrils bleeding, and sore throat. Thats all normal for me.
Release 12 — day 35, dose 3
Symptoms: My depression is acting up. So all the symptoms of it including fatigue.
Release 12 — 3 months, dose 5
Symptoms: I have a sinus infection.
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 | Condition aggravated | · | · | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Eructation | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release