YD9-58991-90119
5 vaccinations
6 coded responses
54 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 652 / MO
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-15
-
2021-02-20
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site swelling, Rash pruritic — Feeling: GoodFree text: Day 9&10, rash near interjection site that itched only when touched/leaned on. Slightly swollen. All Very mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Feel pain only when I lean on arm (Ex sleep on that side).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Felt pressure on ribs in bed last night when laid in back. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Musculoskeletal chest pain — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Again, last night when Kay on back, felt pressure/pain on ribs. Similar to rash near injection spot, less than day before, but persists.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Epistaxis — Feeling: GoodFree text: Short lived bloody nose this am.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-06
Dose 4 — Moderna
- 2022-04-18
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-15
Dose 5 — ModernaCo-administered: Flu
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-12-15
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-15 | Moderna | Flu |
Free text
Release 4 — day 14, dose 1
Symptoms: Day 9&10, rash near interjection site that itched only when touched/leaned on. Slightly swollen. All Very mild.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feel pain only when I lean on arm (Ex sleep on that side).
Systemic reaction (other): Felt pressure on ribs in bed last night when laid in back. Mild.
Systemic reaction (other): Again, last night when Kay on back, felt pressure/pain on ribs. Similar to rash near injection spot, less than day before, but persists.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Short lived bloody nose this am.
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 | Constipation | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release