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YJB-19649-54756

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
117 / NY
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-05
    Dose 2 — Moderna
  5. 2021-04-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: The body ache is largely torso-based.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: Migraine today. Probably not a side effect.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Tinnitus. I had this before and don't think the vaccine exasperated it or anything, thank goodness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  13. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Headache, Tinnitus — Feeling: Fair
    Free text: Headaches and tinnitus. Not necessarily unusual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-10-04
    Survey response — 6 months, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain in left leg, upper thigh. Overall body pain.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-05
    Survey response — 12 months, dose 2
    MedDRA: Adverse reaction, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had what felt like allergies or a head cold after a flight from (b)(6) to (b)(6) . I brought a test kit with me and tested 2x with negative results. So relieved!
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): The body ache is largely torso-based.

2021-04-10

Systemic reaction (other): Migraine today. Probably not a side effect.

2021-04-11

Systemic reaction (other): Tinnitus. I had this before and don't think the vaccine exasperated it or anything, thank goodness.

Release 8 — day 21, dose 2

2021-04-26

Symptoms: Headaches and tinnitus. Not necessarily unusual.

Release 9 — 6 months, dose 2

2021-10-04

Symptoms: Pain in left leg, upper thigh. Overall body pain.

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: I had what felt like allergies or a head cold after a flight from (b)(6) to (b)(6) . I brought a test kit with me and tested 2x with negative results. So relieved!
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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction · · ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDTinnitus ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release