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YBC-25932-11386

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
891 / NV
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Registered in v-safe
  2. 2021-01-30
    Dose 1 — Moderna
  3. 2021-01-30
    Survey response — day 0, dose 1
    MedDRA: Dyspepsia — Feeling: Good
    Free text: Slight heartburn mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-27
    Dose 2 — Moderna
  14. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Survey response — day 21, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea, Self-medication — Feeling: Good
    Free text: Constant stopped up nose sometimes still running not normal for me. I have tried nose spray doesn't get rid of the problem.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-27
    Survey response — day 28, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good
    Free text: Runny stuffy nose since my second dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-03
    Survey response — day 35, dose 2
    MedDRA: Diverticulitis, Illness, Medical counselling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Flare up of my diverticulitis. After my second vaccination I triedtaking my probiotic and it made me sick one morning so I stopped taking it and wound up with a flare up i told my doctor not severe enough to go into the hospital. On clear diet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-10
    Survey response — day 42, dose 2
    MedDRA: Diverticulitis, Musculoskeletal stiffness, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diverticulitis flare up and still have stuffy/runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-02-27Moderna

Free text

Release 3 — day 0, dose 1

2021-01-30

Systemic reaction (other): Slight heartburn mild

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Runny nose

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Constant stopped up nose sometimes still running not normal for me. I have tried nose spray doesn't get rid of the problem.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Runny stuffy nose since my second dose.

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Flare up of my diverticulitis. After my second vaccination I triedtaking my probiotic and it made me sick one morning so I stopped taking it and wound up with a flare up i told my doctor not severe enough to go into the hospital. On clear diet.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Diverticulitis flare up and still have stuffy/runny nose

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
SDDiverticulitis ✓ ✓ ✓
SDIllness ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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