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YL7-16338-73061

3 vaccinations 9 coded responses 20 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
206 / MD
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
U4S-70903-01347 Child or adolescent in my care · Female · 2022-07-01

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache
    Free text: Slight dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sneezing — Feeling: Good
    Free text: Sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat tightness — Feeling: Good
    Free text: Tightness in throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Parosmia, Taste disorder — Feeling: Fair
    Free text: Blunted sense of smell and taste, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Nasal congestion, Upper-airway cough syndrome — Feeling: Good
    Free text: Congestion & Post Nasal Drip
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Bilateral lower abdominal discomfort. Possibly ovaries. About 6 days in duration.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Headache, Diarrhea
    Adult check-in
  15. 2021-02-10
    Survey response — day 14, dose 2
    MedDRA: Headache, Pyrexia — Feeling: Good
    Free text: Recurrent mild fever, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-17
    Survey response — day 21, dose 2
    MedDRA: Body temperature fluctuation, Pyrexia — Feeling: Fair
    Free text: Continued body temp fluctuation from normal to low fever and back, a few times a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-28
    Survey response — 6 months, dose 2
    MedDRA: Frequent bowel movements, Headache, Malaise, Menstrual disorder, Nausea — Feeling: Fair
    Free text: Weeks of increased frequency of menstrual periods, bowel movements, headaches and nausea. General feeling of being unwell. Currently getting blood work done to evaluate as origin of issues are unknown at this point in time.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-11-12
    Dose 3 — Moderna
  23. 2022-01-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-02-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-11-12Moderna No

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Slight dizziness

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Sneezing

2021-01-03

Systemic reaction (other): Tightness in throat

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Blunted sense of smell and taste, dizziness

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Congestion & Post Nasal Drip

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Bilateral lower abdominal discomfort. Possibly ovaries. About 6 days in duration.

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Recurrent mild fever, headache

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Continued body temp fluctuation from normal to low fever and back, a few times a week.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Weeks of increased frequency of menstrual periods, bowel movements, headaches and nausea. General feeling of being unwell. Currently getting blood work done to evaluate as origin of issues are unknown at this point in time.

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
SDAbdominal discomfort ✓ ✓ ✓
SDBody temperature fluctuation ✓ ✓ ✓
SDFrequent bowel movements ✓ · ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ · ✓
SDMenstrual disorder ✓ · ✓
SDNasal congestion ✓ ✓ ✓
SDNausea ✓ · ✓
SDPyrexia ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

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

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