YCR-84238-86050
5 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4NQ-27203-08101
Child or adolescent in my care · Male · 2021-10-25
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: On the day on injection, I did have a bad taste in my mouth. That symptom only lasted for a few hours, on the day of injection. Just an fyi.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-12
Survey response — day 7, dose 2MedDRA: Headache, Injection site pain, Pain, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Day of injection, headache and mild arm pain at injection site. Next day after injection, body aches, chills, low grade fever, and very painful arm at injection site. If not already off from work, would have called out. 2 nd day after injection still moderate arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Lacrimation increased, Sneezing — Feeling: GoodFree text: Sneezing and watery eyes, hopefully seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-11-21
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-15
Dose 4 — Moderna
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2022-04-19
- 2022-04-21
- 2022-04-24
- 2022-04-30
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-09-16
Dose 5 — Moderna
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · HeadacheAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Fever · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-09-19
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-09-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On the day on injection, I did have a bad taste in my mouth. That symptom only lasted for a few hours, on the day of injection. Just an fyi.
Release 4 — day 7, dose 2
Systemic reaction (other): Day of injection, headache and mild arm pain at injection site. Next day after injection, body aches, chills, low grade fever, and very painful arm at injection site. If not already off from work, would have called out. 2 nd day after injection still moderate arm pain
Release 4 — day 21, dose 2
Symptoms: Sneezing and watery eyes, hopefully seasonal allergies
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 | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release