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YKC-12261-03854

4 vaccinations 14 coded responses 51 check-ins 14 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
021 / MA
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Registered in v-safe
  2. 2021-02-15
    Dose 1 — Moderna
  3. 2021-02-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Muscle or body aches
    Free text: The sore/achey is only one muscle and localized shot location, tough to call it pain, its 100% tolerable but I note it cuz it did arrive last pm and still does exist albeit at an extremely low level.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Muscle or body aches
    Free text: Mild ache at injection location diminished further yesterday (I missed reporting due to unrelated medical/family emergency.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-15
    Dose 2 — Moderna
  13. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Taste disorder, Thirst — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Bad taste in mouth. Thirsty.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache
    Free text: Pain at/around/beyond armpit, probably lymph node but It extends much further around/toward breast, and Im not an MD so cant b certain what it is
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache
    Free text: Still sore armpit (mayve forgot to mention yesterday)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness
    Free text: Armpit still a little sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Axillary pain — Feeling: Good
    Free text: Armpit still but less pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-16
    Dose 3 — Moderna
  28. 2021-11-16
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Foggy & lightheaded
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog, Hypertension, Migraine, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: High blood pressure, itchy, migraine, foggy
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Lymph node a little sore
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  33. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-11-23
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  35. 2021-11-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-08
    Dose 4 — Moderna
  42. 2022-05-08
    Survey response — day 0, dose 4
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Just got vaxx 2 hours ago - insufficient time to experience my usual symptoms
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  44. 2022-05-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache, Nausea, Vomiting
    Adult check-in
  45. 2022-05-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  46. 2022-05-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Possible sore under arm
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-05-13
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness
    Free text: A little sore under arm
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-05-15
    Survey response — day 7, dose 4
    MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness
    Free text: Sore under arm but less than prior days
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-05-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-06-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-06-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-06-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-08-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-11-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-05-09
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna
32021-11-16Moderna No
42022-05-08Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): The sore/achey is only one muscle and localized shot location, tough to call it pain, its 100% tolerable but I note it cuz it did arrive last pm and still does exist albeit at an extremely low level.

2021-02-18

Systemic reaction (other): Mild ache at injection location diminished further yesterday (I missed reporting due to unrelated medical/family emergency.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Bad taste in mouth. Thirsty.

2021-03-17

Systemic reaction (other): Pain at/around/beyond armpit, probably lymph node but It extends much further around/toward breast, and Im not an MD so cant b certain what it is

2021-03-19

Systemic reaction (other): Still sore armpit (mayve forgot to mention yesterday)

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Armpit still a little sore

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Armpit still but less pain

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Foggy & lightheaded

2021-11-18

Systemic reaction (other): High blood pressure, itchy, migraine, foggy

2021-11-19

Systemic reaction (other): Lymph node a little sore

Release 11 — day 0, dose 4

2022-05-08

Systemic reaction (other): Just got vaxx 2 hours ago - insufficient time to experience my usual symptoms

Release 11 — days 1–6 daily, dose 4

2022-05-12

Systemic reaction (other): Possible sore under arm

2022-05-13

Systemic reaction (other): A little sore under arm

Release 11 — day 7, dose 4

2022-05-15

Systemic reaction (other): Sore under arm but less than prior days

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
SROAxillary pain ✓ ✓ ✓
SROBrain fog · · ✓
SRODizziness · · ✓
SROHypertension · · ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMigraine · · ✓
SROPruritus · · ✓
SROTaste disorder ✓ ✓ ✓
SROThirst ✓ ✓ ✓
SROUnevaluable event · · ✓

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