YJT-10545-60741
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 458 / OH
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chromaturia, Headache, Insomnia, Nausea, Pain, Pain in extremity, Pyrexia, Sleep disorder, Vomiting — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Not able to sleep the first night after the vaccination...insomnia. For the first 26 hours or so I only had a sore arm. I then developed a headache, fever, nausea, vomiting and achiness. I did also have back pain in the location of my kidneys and very dark urine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-14
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Abdominal pain, Back pain, Headache, Nausea — Feeling: GoodFree text: I was feeling better I thought then I had increased nausea and headache for 2 days. Im still having unusual abdominal and back ache that has never passed. The headache and nausea passed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Chromaturia, Hepatic pain, Self-medication — Feeling: Good · Site: Pain · Joint painsFree text: Since this was my second dose and I knew what I experienced the first time I did things a little different this time. My symptoms were very delayed last time with orange urine and pain related to liver area. Last time I took Tylenol after shot and every 4 hours after. This time I have taken no Tylenol or ibuprofen and I have not had the situation like I had the last time. Not sure if that made a difference or not but if I can help others have an easier time with vaccine by sharing information thats my goal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-07
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Not able to sleep the first night after the vaccination...insomnia. For the first 26 hours or so I only had a sore arm. I then developed a headache, fever, nausea, vomiting and achiness. I did also have back pain in the location of my kidneys and very dark urine.
Release 2 — day 14, dose 1
Symptoms: I was feeling better I thought then I had increased nausea and headache for 2 days. Im still having unusual abdominal and back ache that has never passed. The headache and nausea passed.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Since this was my second dose and I knew what I experienced the first time I did things a little different this time. My symptoms were very delayed last time with orange urine and pain related to liver area. Last time I took Tylenol after shot and every 4 hours after. This time I have taken no Tylenol or ibuprofen and I have not had the situation like I had the last time. Not sure if that made a difference or not but if I can help others have an easier time with vaccine by sharing information thats my goal.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chromaturia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release