YEM-17407-19128
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 028 / RI
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Rash on left cheek still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Rash still present on left cheekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-17
- 2021-06-05
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Injected limb mobility decreased, Injection site pain, Limb discomfort, Middle insomnia, Pain, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Injection site is still very sore. Wakes me up quite often when I roll to that side. Also I can not raise left arm above shoulder height without discomfort and often without pain.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-29
Dose 3 — Moderna
- 2022-03-04
-
2022-03-30
Survey response — 3 months, dose 3MedDRA: Injected limb mobility decreased, Injection site pain, Sleep disorder — Feeling: GoodFree text: Left arm injection site is still sore: not able to raise arm and wake up multiple times nightly when roll onto that armMedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
-
2022-11-04
Dose 4 — Moderna
- 2022-11-04
-
2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-11-08
Survey response — days 1–6 daily, dose 4MedDRA: Swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Has continued to enlarge since first appearedMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-11-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-11-11
Health check-in — day 7, dose 4Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-11-20
- 2022-11-25
- 2022-12-04
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
| 4 | 2022-11-04 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Rash on left cheek still present
Systemic reaction (other): Rash still present on left cheek
Release 9 — 6 months, dose 2
Symptoms: Injection site is still very sore. Wakes me up quite often when I roll to that side. Also I can not raise left arm above shoulder height without discomfort and often without pain.
Release 11 — 3 months, dose 3
Symptoms: Left arm injection site is still sore: not able to raise arm and wake up multiple times nightly when roll onto that arm
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Has continued to enlarge since first appeared
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 | Injected limb mobility decreased | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Limb discomfort | ✓ | · | ✓ |
| SD | Middle insomnia | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release