YDG-13713-11086
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 060 / CT
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-18
Dose 1 — Moderna
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2021-03-20
Registered in v-safe
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling, Self-medication, Swelling face — Feeling: Fair · Site: Pain · ChillsFree text: My right lower cheek and upper lip has been swollen since 10pm last night. Thought it might be allergies and took Allegra. Symptoms are a little less today but have not gone away 100%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
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2021-04-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Self-medication — Feeling: GoodFree text: Small quarter size swollen red itchy area near injection spot. It last two days then went away. I took an antihistamine the first dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-14
Dose 2 — Moderna
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2021-04-14
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: A little dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain · HeadacheFree text: Slight headache and light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 21, dose 2MedDRA: Asthenia, Fatigue — Feeling: GoodFree text: April 25th I felt tired and weak. It lasted a couple of daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 28, dose 2MedDRA: Fatigue, Muscular weakness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme muscle weakness and tired after doing yard workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-15
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My right lower cheek and upper lip has been swollen since 10pm last night. Thought it might be allergies and took Allegra. Symptoms are a little less today but have not gone away 100%
Release 6 — day 14, dose 1
Symptoms: Small quarter size swollen red itchy area near injection spot. It last two days then went away. I took an antihistamine the first day
Release 7 — day 0, dose 2
Systemic reaction (other): A little dizziness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight headache and light headedness
Release 8 — day 21, dose 2
Symptoms: April 25th I felt tired and weak. It lasted a couple of days
Release 8 — day 28, dose 2
Symptoms: Extreme muscle weakness and tired after doing yard work
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release