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YCG-27872-43254

5 vaccinations 8 coded responses 30 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
221 / VA
Registered
2021-02-16
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Registered in v-safe
  2. 2021-02-16
    Dose 1 — Moderna
  3. 2021-02-16
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Immediate post-injection reaction, Oral mucosal roughening, Oral pruritus, Product after taste — Feeling: Good · Site: Pain
    Free text: Roof of mouth feels a bit itchy and rough. It felt like I could taste the diluent for a little while immediately following the shot. Felt slightly dizzy 5 minutes after, but it was brief.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities
    Free text: The arm pain was so bad, I could not function. But Tylenol has almost normalized things. I just hope taking acetaminophen is okay. It normally doesn't help me with a lot of things but this time it is
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Swollen hands. More so on the side of the injection, but still both.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-02
    Survey response — day 14, dose 1
    MedDRA: Oropharyngeal pain, Pharyngeal erythema — Feeling: Good
    Free text: Red, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Dose 2 — Moderna
  14. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: A little light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness
    Free text: Slightly short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-23
    Survey response — day 7, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-07
    Dose 3 — Moderna
  30. 2022-03-16
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  31. 2022-06-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-22
    Dose 4 — Pfizer-BioNTech
  33. 2022-09-12
    Dose 5 — Moderna
  34. 2022-12-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-12-12
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  36. 2023-03-13
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-12-07Moderna No
42022-06-22Pfizer-BioNTech No
52022-09-12Moderna No

Free text

Release 4 — day 0, dose 1

2021-02-16

Systemic reaction (other): Roof of mouth feels a bit itchy and rough. It felt like I could taste the diluent for a little while immediately following the shot. Felt slightly dizzy 5 minutes after, but it was brief.

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): The arm pain was so bad, I could not function. But Tylenol has almost normalized things. I just hope taking acetaminophen is okay. It normally doesn't help me with a lot of things but this time it is

2021-02-18

Systemic reaction (other): Swollen hands. More so on the side of the injection, but still both.

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Red, sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): A little light headed

2021-03-18

Systemic reaction (other): Cough

2021-03-19

Systemic reaction (other): Slightly short of breath

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): 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
SDOropharyngeal pain ✓ ✓ ✓
SDPharyngeal erythema ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROOral mucosal roughening ✓ ✓ ✓
SROOral pruritus ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROProduct after taste ✓ ✓ ✓

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