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
-
2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Moderna
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2021-01-30
Survey response — day 0, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Slight heartburn mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
- 2021-02-27
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
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2021-03-20
Survey response — day 21, dose 2MedDRA: Nasal congestion, Rhinorrhoea, Self-medication — Feeling: GoodFree 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
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2021-03-27
Survey response — day 28, dose 2MedDRA: Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Runny stuffy nose since my second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 35, dose 2MedDRA: Diverticulitis, Illness, Medical counselling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-04-10
Survey response — day 42, dose 2MedDRA: Diverticulitis, Musculoskeletal stiffness, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diverticulitis flare up and still have stuffy/runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-29
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Slight heartburn mild
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose
Release 6 — day 21, dose 2
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
Symptoms: Runny stuffy nose since my second dose.
Release 6 — day 35, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release