YA8-28640-01057
3 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 327 / FL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-24
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-20
- 2021-04-28
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-10-11
-
2021-12-05
Dose 3 — Moderna
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: Headache is very mildMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Arm Pit lymph nodes on the arm where I got the injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: Axillary lymph nodes swollen sore in the arm that got the injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure decreased — Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessFree text: Lower BP than usualMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Constipation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: ConstipationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Survey response — day 7, dose 3MedDRA: Hypotension — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Low Bp since booster a week agoMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-03-06
- 2022-06-05
-
2022-12-05
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Cough, Decreased appetite, Pain, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had fever, body aches, cough, nasal drainage, loss of appetite , loss of smell and taste for 4 days in September. November had fever for 24 hours, ; cough, nasal drainage for 4 days. Lingering cough still.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache is very mild
Systemic reaction (other): Arm Pit lymph nodes on the arm where I got the injection
Systemic reaction (other): Axillary lymph nodes swollen sore in the arm that got the injection
Systemic reaction (other): Lower BP than usual
Systemic reaction (other): Constipation
Release 10 — day 7, dose 3
Systemic reaction (other): Low Bp since booster a week ago
Release 12 — 12 months, dose 3
Symptoms: Had fever, body aches, cough, nasal drainage, loss of appetite , loss of smell and taste for 4 days in September. November had fever for 24 hours, ; cough, nasal drainage for 4 days. Lingering cough still.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Blood pressure decreased | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypotension | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release