Y9Z-31302-04470
5 vaccinations
4 coded responses
51 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 834 / ID
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-01
Registered in v-safe
-
2021-01-01
Dose 1 — Moderna
- 2021-01-01
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Good · Site: PainFree text: Odd tremors yesterday for 10 minutes. No tremors since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-15
- 2021-01-22
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, DiarrheaAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-03-05
- 2021-03-12
- 2021-05-02
- 2021-08-01
-
2021-10-22
Dose 3 — Moderna
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Immediate post-injection reaction, Taste disorder — Feeling: Good · Site: PainFree text: Had an immediate odd taste in my mouth moments after vaccine. Not a metallic taste. Still have the odd taste. No loss of smell.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
-
2022-04-03
Dose 4 — Pfizer-BioNTech
- 2022-04-22
-
2022-09-17
Dose 5 — Moderna
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-23
- 2022-09-24
-
2022-10-01
Survey response — day 14, dose 5MedDRA: Ear pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ear ache that lasted for 3 days. Ear ache appears to be gone today. I have never gotten earaches my whole life until now.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Survey response — day 21, dose 5MedDRA: Lacrimation increased, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Serious watering eyes and sinuses blocked severely. However, seems to me that my immune system took over and knocked it right baxk down to nothing in about 4 hours. Very pleased about that.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-01 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
| 5 | 2022-09-17 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Odd tremors yesterday for 10 minutes. No tremors since.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had an immediate odd taste in my mouth moments after vaccine. Not a metallic taste. Still have the odd taste. No loss of smell.
Release 12 — day 14, dose 5
Symptoms: Ear ache that lasted for 3 days. Ear ache appears to be gone today. I have never gotten earaches my whole life until now.
Release 12 — day 21, dose 5
Symptoms: Serious watering eyes and sinuses blocked severely. However, seems to me that my immune system took over and knocked it right baxk down to nothing in about 4 hours. Very pleased about that.
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 | Ear pain | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Taste disorder | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release