YBA-22042-74162
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 286 / NC
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
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2020-12-31
Registered in v-safe
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal painAdult check-in
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-02
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
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2021-01-20
Survey response — day 21, dose 1MedDRA: Body temperature increased, Chills, Cough, Dysphonia, Laryngitis, Office visit, Oropharyngeal pain, Rhonchi, SARS-CoV-2 test negative — Feeling: Poor · Be unable to workFree text: Developed chills on 01/16 to the bone late that night . Woke up next day with sore throat , hoarseness , low grade temp . Following day was worse largingitis . Neg for Covid . Went to md rhonchi noted bilaterally upper lower lobes , cough .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Dose 2 — Moderna
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-02-03
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-02-12
- 2021-02-18
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
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2021-07-28
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to work or attend schoolFree text: Worsening of my Rheumatoid Arthritis . Take monthly biologic infusions to help control RA but MD not sure if vaccine relatedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-01-27
Survey response — 12 months, dose 2MedDRA: Asthenia, Hypoaesthesia, Sinusitis — Feeling: Fair · Be unable to work or attend schoolFree text: Weakness , numbness in extremities , two sinus infectionsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus drainage
Release 1 — day 7, dose 1
Systemic reaction (other): No
Release 2 — day 21, dose 1
Symptoms: Developed chills on 01/16 to the bone late that night . Woke up next day with sore throat , hoarseness , low grade temp . Following day was worse largingitis . Neg for Covid . Went to md rhonchi noted bilaterally upper lower lobes , cough .
Release 9 — 6 months, dose 2
Symptoms: Worsening of my Rheumatoid Arthritis . Take monthly biologic infusions to help control RA but MD not sure if vaccine related
Release 11 — 12 months, dose 2
Symptoms: Weakness , numbness in extremities , two sinus infections
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 | Asthenia | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Laryngitis | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rheumatoid arthritis | ✓ | · | ✓ |
| SD | Rhonchi | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | ○ | ○ | ○ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Sinus operation | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release