YBN-38314-70239
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 923 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-18
Registered in v-safe
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2021-02-18
Dose 1 — Moderna
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Disorientation, Dizziness, Headache, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe lower back pain, right hand swollen, severe headache, dizzy and a bit disorientedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Asthenia, Back pain, Disorientation, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Diminished strength, disoriented, severe lower back pain and severe joint pain, lightheaded and dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Angina pectoris, Asthenia, Disorientation, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Dizzy, lightheaded, disoriented, moderate heart pain, weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Disorientation, Dizziness, Erythema, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Disoriented, lightheaded, dizzy, head pressure, swelling of hands, itching, hot reddened faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Disorientation, Hypoaesthesia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Rash, not including the immediate area around the injection siteFree text: Mild disorientation, weakness, numbness on right handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-11
Survey response — day 21, dose 1MedDRA: Asthenia, Hypoaesthesia, Peripheral swelling — Feeling: GoodFree text: Swelling in hands and feet, loss of strength and numbness in hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Severe lower back pain, right hand swollen, severe headache, dizzy and a bit disoriented
Systemic reaction (other): Diminished strength, disoriented, severe lower back pain and severe joint pain, lightheaded and dizzy.
Systemic reaction (other): Dizzy, lightheaded, disoriented, moderate heart pain, weakness
Systemic reaction (other): Disoriented, lightheaded, dizzy, head pressure, swelling of hands, itching, hot reddened face
Systemic reaction (other): Mild disorientation, weakness, numbness on right hand
Release 5 — day 21, dose 1
Symptoms: Swelling in hands and feet, loss of strength and numbness in hands.
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 | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Angina pectoris | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release