YKS-13910-27145
5 vaccinations
2 coded responses
65 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-07
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I have felt slightly tired all week, butt I just put it down to a busy week back at work after the holidays. It is nothing much, but guessed I should just mention it even although I don't feel it is connected with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-14
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Neck mass — Feeling: GoodFree text: On Friday I was at my doctor for my annual physical. She discovered a small lump on the right side of my neck that I had not previously noticed. She said it was too high for a thyroid problem. She is arranging for me to have an ultra sound.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-05-01
Dose 4 — Moderna
- 2022-05-01
- 2022-05-01
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-10-30
-
2022-11-19
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-19
-
2022-11-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-02-20
- 2023-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
| 5 | 2022-11-19 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I have felt slightly tired all week, butt I just put it down to a busy week back at work after the holidays. It is nothing much, but guessed I should just mention it even although I don't feel it is connected with the vaccine
Release 2 — day 14, dose 1
Symptoms: On Friday I was at my doctor for my annual physical. She discovered a small lump on the right side of my neck that I had not previously noticed. She said it was too high for a thyroid problem. She is arranging for me to have an ultra sound.
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 | Neck mass | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release