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YBX-83516-55634

3 vaccinations 10 coded responses 12 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
937 / CA
Registered
2021-12-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-02-08
    Dose 2 — Moderna
  3. 2021-12-09
    Dose 3 — Moderna
  4. 2021-12-12
    Registered in v-safe
  5. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Free text: Pain and swollen lymph notes in my armpit on side where I got the shot
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abnormal sensation in eye — Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: My eyeballs feel cold, like I've been outside in the wind
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abnormal sensation in eye — Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: Eyes felt cold again, I want to shut my eyes to warm them up
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-16
    Survey response — day 7, dose 3
    MedDRA: Abnormal sensation in eye — Feeling: Good
    Free text: Eyes still feel cold but it's getting better
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-01-01
    Survey response — day 21, dose 3
    MedDRA: Cough, Oropharyngeal pain, Secretion discharge, Sinus congestion, Sputum discoloured — Feeling: Fair
    Free text: Coughing up Green mucus, sinus congestion, sinus stuffiness, sore throat off/on
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-07
    Survey response — day 28, dose 3
    MedDRA: Cough, Headache, Oropharyngeal pain, Sputum discoloured — Feeling: Fair
    Free text: Headache, coughing up green mucus, sore throat off/on
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-01-13
    Survey response — day 35, dose 3
    MedDRA: Abdominal distension, Abdominal pain, Headache, Oropharyngeal pain — Feeling: Good
    Free text: Had stomach bloating and abdominal pain. Some sore throat and headache. None of these were consistent
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-03-13
    Survey response — 3 months, dose 3
    MedDRA: Abdominal discomfort, Diarrhoea, Headache, Nausea — Feeling: Good · Be unable to work or attend school
    Free text: Stomach upset, diarrhea, headache, nausea
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-06-09
    Survey response — 6 months, dose 3
    MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus hypersecretion, Secretion discharge — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough, sore throat, headache, mucus, sinus drainage, exhausted, cold
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-12-12
    Survey response — 12 months, dose 3
    MedDRA: Fatigue, Headache, Influenza, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had the flu- body aches, headache, fatigue, congestion & sore throat
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna No
22021-02-08Moderna No
32021-12-09Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Pain and swollen lymph notes in my armpit on side where I got the shot

2021-12-13

Systemic reaction (other): My eyeballs feel cold, like I've been outside in the wind

2021-12-14

Systemic reaction (other): Eyes felt cold again, I want to shut my eyes to warm them up

Release 10 — day 7, dose 3

2021-12-16

Systemic reaction (other): Eyes still feel cold but it's getting better

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Coughing up Green mucus, sinus congestion, sinus stuffiness, sore throat off/on

Release 10 — day 28, dose 3

2022-01-07

Symptoms: Headache, coughing up green mucus, sore throat off/on

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Had stomach bloating and abdominal pain. Some sore throat and headache. None of these were consistent

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: Stomach upset, diarrhea, headache, nausea

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: Cough, sore throat, headache, mucus, sinus drainage, exhausted, cold

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: I had the flu- body aches, headache, fatigue, congestion & sore throat

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
SDAbdominal discomfort · · ✓
SDAbdominal distension · · ✓
SDAbdominal pain · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInfluenza · · ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDParanasal sinus hypersecretion · · ✓
SDRespiratory tract congestion · · ✓
SDSecretion discharge · · ✓
SDSinus congestion · · ✓
SDSputum discoloured · · ✓
SROAbnormal sensation in eye · · ✓
SROLymphadenopathy · · ✓
SROPain · · ✓

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