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
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-05
- 2021-01-12
- 2021-01-21
-
2021-01-23
Dose 2 — Moderna
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
- 2021-01-27
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · ChillsFree 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
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-07-24
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release