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YKZ-27889-18164

2 vaccinations 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
106 / NY
Registered
2020-12-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-22
    Registered in v-safe
  2. 2020-12-22
    Dose 1 — Moderna
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-23
    Dose 2 — Moderna
  10. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Chills, Dizziness, Fatigue, Lethargy, Pyrexia, Vomiting — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Beginning at 8:00 pm the day of the second shot I was violently vomiting. During the night had severe chills. Sunday morning at 7:30 I was vomiting again. High fever of 102.8F. Had fluctuations of fever until 11:00 pm. Severely fatigued and dizzy. Monday I didnt have fever but was very lethargic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Chills
    Free text: No one has even addressed the issues that I had when I first got the second dose and the traumatic symptoms I had.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-01-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Moderna
22021-01-23Moderna

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Beginning at 8:00 pm the day of the second shot I was violently vomiting. During the night had severe chills. Sunday morning at 7:30 I was vomiting again. High fever of 102.8F. Had fluctuations of fever until 11:00 pm. Severely fatigued and dizzy. Monday I didnt have fever but was very lethargic.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): No one has even addressed the issues that I had when I first got the second dose and the traumatic symptoms I had.

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
SROAdverse reaction ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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