YB2-10781-04626
5 vaccinations
6 coded responses
46 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-11
- 2021-03-18
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast pain, Chills, Headache — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Chills, headache, stabbing type pain in both breasts and left armpit, somewhat dimished today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-23
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Lymph nodes under right arm were swelled for 1 day.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-07
Dose 4 — Moderna
-
2022-04-20
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Eeactions were the day after shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: Office visit, Sinusitis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bad sinus infection. Was treated at urgent care. Ran temp for short period of time. Was on z pack and Prednisone. Doing much better 5 days later.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 5 — Moderna
-
2022-10-06
Survey response — 6 months, dose 4MedDRA: Axillary pain, Lymph node pain, Self-medication — Feeling: GoodFree text: Stabbing pain up under armpit of arm that had shot. Probably lymph nodes. Lasted overnight, then w we nt away with Tylenol.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — day 7, dose 5MedDRA: Spinal pain — Feeling: Good · Fatigue or tirednessFree text: Unusual pain in spinal areaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-12
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Chills, headache, stabbing type pain in both breasts and left armpit, somewhat dimished today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes under right arm were swelled for 1 day.
Release 11 — day 7, dose 4
Systemic reaction (other): Eeactions were the day after shot
Release 12 — 3 months, dose 4
Symptoms: Bad sinus infection. Was treated at urgent care. Ran temp for short period of time. Was on z pack and Prednisone. Doing much better 5 days later.
Release 12 — 6 months, dose 4
Symptoms: Stabbing pain up under armpit of arm that had shot. Probably lymph nodes. Lasted overnight, then w we nt away with Tylenol.
Release 12 — day 7, dose 5
Systemic reaction (other): Unusual pain in spinal area
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 | Axillary pain | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Spinal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release