Y9B-64486-01337
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 024 / MA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Mild sensation of general discomfort, like when you are starting with a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I was feeling very fatigued for the past 3-4 days, I was tested for COVID-19 on Jan 20th and the test came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Headache, Pain, Pain in extremity, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: After exactly 2 hours after the second dose, my arm started hurting. At exactly 12 hours from the second dose, I started with a fever up to 39celcius, generalized body ake, and headache. These symptoms lasted 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
- 2021-05-07
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, joints pain, tiredness.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sensation of general discomfort, like when you are starting with a cold.
Release 2 — day 14, dose 1
Symptoms: I was feeling very fatigued for the past 3-4 days, I was tested for COVID-19 on Jan 20th and the test came back negative.
Release 4 — day 14, dose 2
Symptoms: After exactly 2 hours after the second dose, my arm started hurting. At exactly 12 hours from the second dose, I started with a fever up to 39celcius, generalized body ake, and headache. These symptoms lasted 24 hours.
Release 9 — 6 months, dose 2
Symptoms: Headache, joints pain, tiredness.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release