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
-
2021-02-02
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
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2021-02-10
Survey response — day 7, dose 1MedDRA: Pyrexia — Feeling: Good · Site: Pain, Swelling · ChillsFree text: on the second day Feb. 3rd I had 99.3 degree F low grade feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-23
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2021-03-02
Dose 2 — Moderna
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2021-03-02
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Possibly headache but could be from alergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Just generally not feeling well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity — Feeling: Good · HeadacheFree text: Might be from my having allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms could be related to allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 42, dose 2MedDRA: Pain, Pain in extremity — Feeling: GoodFree 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
- 2021-06-01
- 2021-08-31
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2021-11-06
Dose 3 — Moderna
- 2022-03-02
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2022-05-29
Dose 4 — Moderna
- 2022-06-16
- 2022-06-19
- 2022-06-26
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2022-07-04
Survey response — day 35, dose 4MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tired. Want to take naps during the dayMedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
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2022-11-01
Dose 5 — Moderna
- 2022-11-27
- 2022-11-27
- 2022-11-29
- 2022-12-06
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2022-12-15
Survey response — day 42, dose 5MedDRA: Body temperature increased, Nasopharyngitis, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a low temperature and scratchy throat which could have been a light cold. 3 to 4 days of cold type symptomsMedDRA releases: 2024-11 · check-in free text available
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-05-29 | Moderna | No |
| 5 | 2022-11-01 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): on the second day Feb. 3rd I had 99.3 degree F low grade fever
Release 4 — day 0, dose 2
Systemic reaction (other): Possibly headache but could be from alergies
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just generally not feeling well.
Systemic reaction (other): Might be from my having allergies
Release 5 — day 7, dose 2
Systemic reaction (other): Symptoms could be related to allergies
Release 7 — day 42, dose 2
Symptoms: My arm has been sore since my second vaccine. Subtle Aches and some soreness still today.
Release 12 — day 35, dose 4
Symptoms: Tired. Want to take naps during the day
Release 12 — day 42, dose 5
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release