YEU-30139-38703
4 vaccinations
2 coded responses
3 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2022-09-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Dose 1 — Moderna
-
2021-05-24
Dose 2 — Moderna
-
2021-12-15
Dose 3 — Moderna
-
2022-09-26
Dose 4 — Moderna
-
2022-09-30
Registered in v-safe
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-10
Survey response — day 14, dose 4MedDRA: Fatigue, Rash, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Slight rash (like hives) on my face and fatigue that both started today. I had developed full body rash/hives the week of my booster (shot was 10/26) from 10/28 - 10/29, but before I signed up for these check-ins. No fatigue then, just the rash.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Survey response — day 21, dose 4MedDRA: Cough, Decreased appetite, Diarrhoea, Ear discomfort, Influenza, Nasal congestion, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, cough, congestion, body aches, plugged ears and nose, no appetite, diarrhea Flu is going around our area - probably what I caught. I tested negative for Covid three times since symptoms developed in 10/14MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | No |
| 2 | 2021-05-24 | Moderna | No |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-09-26 | Moderna | No |
Free text
Release 12 — day 14, dose 4
Symptoms: Slight rash (like hives) on my face and fatigue that both started today. I had developed full body rash/hives the week of my booster (shot was 10/26) from 10/28 - 10/29, but before I signed up for these check-ins. No fatigue then, just the rash.
Release 12 — day 21, dose 4
Symptoms: Fever, cough, congestion, body aches, plugged ears and nose, no appetite, diarrhea Flu is going around our area - probably what I caught. I tested negative for Covid three times since symptoms developed in 10/14
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release