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YA7-25374-55750

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
975 / OR
Registered
2021-04-23
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-04-23
    Registered in v-safe
  2. 2021-04-23
    Dose 1 — Moderna
  3. 2021-04-23
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Fatigue, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: my face was tingly and numb-ish after 30 minutes, and i was woozy. it passed quickly, just tired now (3 hours post dose)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, Nausea, Abdominal pain
    Free text: headache is primarily on the left side - which is side i got the jab on. ?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  8. 2021-04-30
    Survey response — day 7, dose 1
    MedDRA: Headache — Feeling: Good · Headache
    Free text: headache may be caused by seasonal allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-09
    Survey response — day 14, dose 1
    MedDRA: Brain fog, Dyspnoea, Fatigue — Feeling: Fair
    Free text: general fatigue, similar to how i felt for months after having COVID last year, but without the shortness of breath, and less brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-21
    Dose 2 — Moderna
  12. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: fever currently 101.1 (2:38 pm pdt)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: mild intermittent chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain, Decreased appetite — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: still have tight chest and mild pain, no appetite since Friday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-11
    Survey response — day 21, dose 2
    MedDRA: Headache, Self-medication — Feeling: Good
    Free text: intermittent headaches, otc pain relievers dont really take it away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Free text

Release 7 — day 0, dose 1

2021-04-23

Systemic reaction (other): my face was tingly and numb-ish after 30 minutes, and i was woozy. it passed quickly, just tired now (3 hours post dose)

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): headache is primarily on the left side - which is side i got the jab on. ?

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): headache may be caused by seasonal allergies.

Release 8 — day 14, dose 1

2021-05-09

Symptoms: general fatigue, similar to how i felt for months after having COVID last year, but without the shortness of breath, and less brain fog.

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): fever currently 101.1 (2:38 pm pdt)

2021-05-23

Systemic reaction (other): mild intermittent chest pain

2021-05-25

Systemic reaction (other): still have tight chest and mild pain, no appetite since Friday.

Release 9 — day 21, dose 2

2021-06-11

Symptoms: intermittent headaches, otc pain relievers dont really take it away.

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

FieldPreferred term2021-092023-042024-11
SDBrain fog ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release