YL8-61137-65945
3 vaccinations
6 coded responses
34 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 403 / KY
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-15
Dose 1 — Moderna
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2021-04-16
Registered in v-safe
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-17
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2021-04-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-05-14
Dose 2 — Moderna
- 2021-05-14
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Dizziness, Pre-existing disease, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: I am complex patient. Neuropathy pain increased, dizziness, and visible tremors in extremities not related to chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Nerve pain increased. History of severe sensorimotor polyneuropathy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-27
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2021-08-13
Survey response — 3 months, dose 2MedDRA: Knee operation, Pulmonary embolism, Pulmonary thrombosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pulmonary embolism in Right Pulmonary artery and smaller clots in lower lobe of the lung. I did have knee surgery 10 days prior to diagnosis.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-12
Survey response — 6 months, dose 2MedDRA: Asthma, Knee operation, Pulmonary embolism, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: July 7 Pulmonary embolism and asthma. Had knee surgery June 25. Nov 10 random fever 101.9 for 24 hours. Gone next morning. Had flu shot 2 weeks prior.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Dose 3 — Moderna
- 2021-12-10
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Neuralgia, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, palpitations, nerve pain in my extremities.MedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Injection site mass, Injection site pain, Injection site rash, Neuralgia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have a tender baseball sized lump below the injection site with a rash and nerve pain in my extremities.MedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, DiarrheaAdult check-in
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-12-16
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I am complex patient. Neuropathy pain increased, dizziness, and visible tremors in extremities not related to chills.
Systemic reaction (other): Nerve pain increased. History of severe sensorimotor polyneuropathy.
Release 9 — 3 months, dose 2
Symptoms: Pulmonary embolism in Right Pulmonary artery and smaller clots in lower lobe of the lung. I did have knee surgery 10 days prior to diagnosis.
Release 10 — 6 months, dose 2
Symptoms: July 7 Pulmonary embolism and asthma. Had knee surgery June 25. Nov 10 random fever 101.9 for 24 hours. Gone next morning. Had flu shot 2 weeks prior.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness, palpitations, nerve pain in my extremities.
Systemic reaction (other): I have a tender baseball sized lump below the injection site with a rash and nerve pain in my extremities.
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 | Asthma | · | · | ✓ |
| SD | Knee operation | ✓ | · | ✓ |
| SD | Pulmonary embolism | ✓ | · | ✓ |
| SD | Pulmonary thrombosis | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release