YD3-33838-57925
4 vaccinations
5 coded responses
34 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 844 / UT
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Reaction to previous exposure to any vaccine, Skin warm — Feeling: Good · Site: Pain · HeadacheFree text: No longer hurts to move arm, just feels bruised when touch, also skin there is warm. For me, common w flu shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 1MedDRA: Abdominal pain, Nausea — Feeling: FairFree text: Nausea, intestinal cramps. Probably food based on prior similar symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
-
2021-04-02
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Feeling hot, Pain, Pain in extremity, Pruritus, Pyrexia, Self-medication — Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body achesFree text: I wasn't given chance to report symptoms after I got shot on Fri: SAT (3rd) had very sore arm, body ache and chills all day; w high fever 101-102 in afternoon even taking ibuprofen; arm where got shot hot to touch. SUN, normal temp by mid day, arm still sore and warm to touch, minimal aching; MON normal temp, area around shot itchy; TUE all ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Hip pain, probably arthritis or strained ligaments.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-01
-
2021-11-29
Dose 3 — Moderna
- 2022-04-02
-
2022-08-03
Dose 4 — Moderna
-
2022-08-05
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased, Chills, Mobility decreased, Self-medication, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: Yesterday, the day after the shot, I had fever (100) even w ibuprofen, chills, couldn't lift arm. Same as had w previous covid shotsMedDRA releases: 2024-11 · check-in free text available
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-09-01
- 2022-09-09
- 2022-09-14
- 2022-11-02
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-08-03 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No longer hurts to move arm, just feels bruised when touch, also skin there is warm. For me, common w flu shot.
Release 5 — day 14, dose 1
Symptoms: Nausea, intestinal cramps. Probably food based on prior similar symptoms.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I wasn't given chance to report symptoms after I got shot on Fri: SAT (3rd) had very sore arm, body ache and chills all day; w high fever 101-102 in afternoon even taking ibuprofen; arm where got shot hot to touch. SUN, normal temp by mid day, arm still sore and warm to touch, minimal aching; MON normal temp, area around shot itchy; TUE all ok.
Release 9 — 3 months, dose 2
Symptoms: Hip pain, probably arthritis or strained ligaments.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday, the day after the shot, I had fever (100) even w ibuprofen, chills, couldn't lift arm. Same as had w previous covid shots
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 | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release