YEU-31986-72692
5 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 973 / OR
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Self-medication, Sjogren's syndrome — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: I have Sjögrens syndrome so I expected my body to react the way it is. It is tolerable with 1000mg Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Somnolence — Feeling: Good · Fatigue or tirednessFree text: Have been just feeling sleepy, I have an autoimmune disease, and expected that I would have some fatigue. Its been on and off- not a big deal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-11-05
Dose 3 — Moderna
- 2022-02-07
-
2022-05-08
Dose 4 — Moderna
-
2022-05-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-13
- 2022-05-14
-
2022-06-12
Survey response — day 35, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: I have an autoimmune disease. I expected that it may put my body into a flare up which it did. That part has lasted since I got the booster but otherwise I am (b)(6). No regrets getting the booster? it's worth the flare!MedDRA releases: 2024-11 · check-in free text available
- 2022-06-19
-
2023-01-11
Dose 5 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-08 | Moderna | No |
| 5 | 2023-01-11 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I have Sjögrens syndrome so I expected my body to react the way it is. It is tolerable with 1000mg Tylenol.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Have been just feeling sleepy, I have an autoimmune disease, and expected that I would have some fatigue. Its been on and off- not a big deal.
Release 12 — day 35, dose 4
Symptoms: I have an autoimmune disease. I expected that it may put my body into a flare up which it did. That part has lasted since I got the booster but otherwise I am (b)(6). No regrets getting the booster? it's worth the flare!
redacted (b)(6)
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 | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sjogren's syndrome | ✓ | ✓ | ○ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release