YH2-17370-82072
3 vaccinations
7 coded responses
31 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 493 / MI
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-27
Dose 1 — Moderna
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2021-04-14
Registered in v-safe
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2021-04-14
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site reaction, Rash, Rash papular — Feeling: GoodFree text: Raised rash to injection site as well as down the upper part of left arm five days post first doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-24
Dose 2 — Moderna
- 2021-04-24
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Monday nite woke up drenched in sweat head to toe! Like when a fever breaks, but I had no fever!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Urticaria — Feeling: GoodFree text: A little over a week ago I broke out in hives! I believe it was the cinnamon I had been putting on my oatmeal every morning for the better part of 2wks! Ive never had a reaction to this before!MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-24
Survey response — 6 months, dose 2MedDRA: Erythema — Feeling: GoodFree text: I have red spots that are bite like on my upper & lower arms! I have had similar spots on legs over the last couple of months. Some are postural like heads!MedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Dose 3 — Moderna
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2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
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2022-05-11
Survey response — 6 months, dose 3MedDRA: Dysphonia, Fatigue, Oropharyngeal discomfort, Pain, Paranasal sinus hypersecretion — Feeling: FairFree text: 4days ago had a dry raspy throat. Sinises running but mainly throat uncomfortable. Tired with som body aches no fever. Mom. Had laryngitis, treated with home remedy, better today.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Raised rash to injection site as well as down the upper part of left arm five days post first dose
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Monday nite woke up drenched in sweat head to toe! Like when a fever breaks, but I had no fever!
Release 9 — 3 months, dose 2
Symptoms: A little over a week ago I broke out in hives! I believe it was the cinnamon I had been putting on my oatmeal every morning for the better part of 2wks! Ive never had a reaction to this before!
Release 10 — 6 months, dose 2
Symptoms: I have red spots that are bite like on my upper & lower arms! I have had similar spots on legs over the last couple of months. Some are postural like heads!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Night sweats
Release 11 — 6 months, dose 3
Symptoms: 4days ago had a dry raspy throat. Sinises running but mainly throat uncomfortable. Tired with som body aches no fever. Mom. Had laryngitis, treated with home remedy, better today.
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 | Dysphonia | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ○ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release