YCR-25037-56135
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
-
2021-01-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-02-19
Dose 2 — Moderna
-
2021-02-19
Survey response — day 0, dose 2MedDRA: Dry eye, Eye pain — Feeling: Good · Site: PainFree text: My eyes hurt. They feel dry. I think I had this with the first shot too but it's not very badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Back pain, Neck pain, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain is mild to moderate but very tolerable and very localized. Pain in my han the same side as a shot. Pain in one side of my neck opposite side of the shot. Pain in the right lower quadrant of my abdomen on the side and in the back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-14
-
2021-03-22
Survey response — day 28, dose 2MedDRA: Hypotension — Feeling: GoodFree text: Low BP but may be due to weight lossMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
-
2021-04-04
Survey response — day 42, dose 2MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach issues, pain in upper right quadrant of abdomen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): My eyes hurt. They feel dry. I think I had this with the first shot too but it's not very bad
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain is mild to moderate but very tolerable and very localized. Pain in my han the same side as a shot. Pain in one side of my neck opposite side of the shot. Pain in the right lower quadrant of my abdomen on the side and in the back.
Release 6 — day 28, dose 2
Symptoms: Low BP but may be due to weight loss
Release 6 — day 42, dose 2
Symptoms: Stomach issues, pain in upper right quadrant of abdomen.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release