Y92-12267-64568
3 vaccinations
6 coded responses
29 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 323 / FL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: Developed a rash approximately 1 long by 2.5 wide, hot and itchy on day 13 (Sunday). Had a smaller rash in same location on day 2, but went away on day 3. Did not attribute it to the vaccine at the time because it is 4-5 below the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Arthralgia, Rash — Feeling: Fair · Site: Pain · FeverFree text: Had all but joint pain, rash, diarrhea and abdominal pain last night. Severe. None todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · NauseaFree text: Upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Dizziness, Fatigue, Gastrointestinal disorder, Headache, Nausea, Pain, SARS-CoV-2 test — Feeling: FairFree text: Fatigue, dizziness, headache, body aches and nausea/digestive problems since 8/21/2021. Just had covid test.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-29
Dose 3 — Moderna
-
2021-10-27
Survey response — day 28, dose 3MedDRA: Fatigue, Influenza like illness, Nausea, Pain, Pyrexia, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Same symptoms as with first shots, just more intense and lasted 3 full days. Flu like with fever, body aches, fatigue and nausea. Tylenol helped.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-12-29
- 2022-03-30
- 2022-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-09-29 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Developed a rash approximately 1 long by 2.5 wide, hot and itchy on day 13 (Sunday). Had a smaller rash in same location on day 2, but went away on day 3. Did not attribute it to the vaccine at the time because it is 4-5 below the injection
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Had all but joint pain, rash, diarrhea and abdominal pain last night. Severe. None today
Systemic reaction (other): Upset stomach
Release 9 — 6 months, dose 2
Symptoms: Fatigue, dizziness, headache, body aches and nausea/digestive problems since 8/21/2021. Just had covid test.
Release 10 — day 28, dose 3
Symptoms: Same symptoms as with first shots, just more intense and lasted 3 full days. Flu like with fever, body aches, fatigue and nausea. Tylenol helped.
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 | Dizziness | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release