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YD2-12400-11414

5 vaccinations 7 coded responses 41 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
920 / CA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  4. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-17
    Dose 2 — Moderna
  7. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Symptoms developed 20 hours after 2nd vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Feel great. Some fatigue and mildly viral but functional yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  10. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-19
    Dose 3 — Moderna
  20. 2021-11-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-02-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-04-18
    Dose 4 — Moderna
  23. 2022-04-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Feels like a fever once in a while
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Lesser aches and arm pain today.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  26. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2022-04-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-07-19
    Survey response — 3 months, dose 4
    MedDRA: Lower respiratory tract infection, Upper respiratory tract infection, Viral infection — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Virus. Upper and lower respiratory (not COVID).
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-28
    Dose 5 — Moderna
  35. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  36. 2022-09-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  37. 2022-10-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  38. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  39. 2022-10-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-10-05
    Survey response — day 7, dose 5
    MedDRA: Exposure to SARS-CoV-2 — Feeling: Good
    Free text: A couple weeks ago, my husband caught COVID; but I didn't!
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-12
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-10-21
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-10-26
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-11-02
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-11-09
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-12-28
    Survey response — 3 months, dose 5
    MedDRA: Abdominal discomfort, Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: Mild, flu-like and GI discomfort, 24 hours, Monday . Have up-to- date COVID and senior flu vax. Tested neg with COVID otc kit.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2023-03-29
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna
32021-08-19Moderna No
42022-04-18Moderna No
52022-09-28Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Symptoms developed 20 hours after 2nd vaccine.

2021-02-20

Systemic reaction (other): Feel great. Some fatigue and mildly viral but functional yesterday.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): Feels like a fever once in a while

2022-04-20

Systemic reaction (other): Lesser aches and arm pain today.

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Virus. Upper and lower respiratory (not COVID).

Release 12 — day 7, dose 5

2022-10-05

Systemic reaction (other): A couple weeks ago, my husband caught COVID; but I didn't!

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Mild, flu-like and GI discomfort, 24 hours, Monday . Have up-to- date COVID and senior flu vax. Tested neg with COVID otc kit.

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 · · ✓
SDInfluenza like illness · · ✓
SDLower respiratory tract infection · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract infection · · ✓
SDViral infection · · ✓
SROAdverse reaction ✓ ✓ ✓
SROExposure to SARS-CoV-2 · · ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot · · ✓
SROPain · · ✓
SROPain in extremity · · ✓

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