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YL3-14747-80572

5 vaccinations 8 coded responses 28 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
959 / CA
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-10
    Registered in v-safe
  3. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Pyrexia — Feeling: Good · Site: Pain, Swelling · Chills
    Free text: on the second day Feb. 3rd I had 99.3 degree F low grade fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-02
    Dose 2 — Moderna
  7. 2021-03-02
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Possibly headache but could be from alergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches
    Adult check-in
  9. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Just generally not feeling well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  11. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity — Feeling: Good · Headache
    Free text: Might be from my having allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-09
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Symptoms could be related to allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-13
    Survey response — day 42, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Good
    Free text: My arm has been sore since my second vaccine. Subtle Aches and some soreness still today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-06
    Dose 3 — Moderna
  21. 2022-03-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-05-29
    Dose 4 — Moderna
  23. 2022-06-16
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-06-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-06-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-07-04
    Survey response — day 35, dose 4
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tired. Want to take naps during the day
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-07-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-11-01
    Dose 5 — Moderna
  29. 2022-11-27
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-11-27
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  31. 2022-11-29
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-12-06
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-12-15
    Survey response — day 42, dose 5
    MedDRA: Body temperature increased, Nasopharyngitis, Throat irritation — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had a low temperature and scratchy throat which could have been a light cold. 3 to 4 days of cold type symptoms
    MedDRA releases: 2024-11 · check-in free text available
  34. 2023-05-02
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-11-06Moderna No
42022-05-29Moderna No
52022-11-01Moderna No

Free text

Release 3 — day 7, dose 1

2021-02-10

Systemic reaction (other): on the second day Feb. 3rd I had 99.3 degree F low grade fever

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Possibly headache but could be from alergies

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Just generally not feeling well.

2021-03-08

Systemic reaction (other): Might be from my having allergies

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Symptoms could be related to allergies

Release 7 — day 42, dose 2

2021-04-13

Symptoms: My arm has been sore since my second vaccine. Subtle Aches and some soreness still today.

Release 12 — day 35, dose 4

2022-07-04

Symptoms: Tired. Want to take naps during the day

Release 12 — day 42, dose 5

2022-12-15

Symptoms: Had a low temperature and scratchy throat which could have been a light cold. 3 to 4 days of cold type symptoms

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
SDBody temperature increased · · ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSomnolence · · ✓
SDThroat irritation · · ✓
SROHypersensitivity ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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