YFV-27171-65925
3 vaccinations
2 coded responses
33 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 522 / IA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GB9-11658-62480
Child or adolescent in my care · Female · 2022-07-29
WSJ-12043-00733
Child or adolescent in my care · Female · 2022-07-29
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-04
Registered in v-safe
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Heart rate increased, Pain in extremity — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Since i didn't have this loaded on day 1, my arm was INCREDIBLY sore for 48 hrs. I had diarrhea for about 6 hours on day 3. On day 3 i had 20 minutes of very high heat rate (180bpm) that occurred while i was sleeping peacefully.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-14
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-29
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Dizziness, Heart rate increased, Hyperhidrosis, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Increased heart rate. Normal is in the 60s, rate is up in the 140s. This happened with my first shot as well. When it jumps up high I will get sweaty and weak like I'm about to vasovagalMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · Headache, Joint painsAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-15
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Since i didn't have this loaded on day 1, my arm was INCREDIBLY sore for 48 hrs. I had diarrhea for about 6 hours on day 3. On day 3 i had 20 minutes of very high heat rate (180bpm) that occurred while i was sleeping peacefully.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Increased heart rate. Normal is in the 60s, rate is up in the 140s. This happened with my first shot as well. When it jumps up high I will get sweaty and weak like I'm about to vasovagal
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 |
|---|---|---|---|---|
| SRO | Asthenia | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release