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YJV-24719-55046

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
937 / CA
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Injection site mass — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: bump at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Injection site induration, Injection site swelling — Feeling: Good
    Free text: Affter the injection i felt a hard bump that lasted about 9 days. It broke up but only because i massaged it out. My friend said the injection was skin popped and administered incorrectly since it missed my muscle. Should i get the firsr dose again?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-17
    Survey response — day 28, dose 1
    MedDRA: Asthenia, Decreased appetite, Fatigue, Feeling cold — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I get very cold all of a sudden and it causes me to tense up alot, constrict my muscles. Im very tired. Lack of energy and seem to lose my appitite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Dose 2 — Moderna
  8. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation reaction — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness
    Free text: These symptoms we right after my injection on 02/18/2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-18Moderna

Free text

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): bump at injection site.

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Affter the injection i felt a hard bump that lasted about 9 days. It broke up but only because i massaged it out. My friend said the injection was skin popped and administered incorrectly since it missed my muscle. Should i get the firsr dose again? cut off by CDC

Release 4 — day 28, dose 1

2021-02-17

Symptoms: I get very cold all of a sudden and it causes me to tense up alot, constrict my muscles. Im very tired. Lack of energy and seem to lose my appitite

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): These symptoms we right after my injection on 02/18/2021

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
SDAsthenia ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓

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