YLK-28596-24488
5 vaccinations
5 coded responses
48 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Migraine with aura — Feeling: Good · Site: PainFree text: Migraine aura without headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-04
Survey response — day 14, dose 1MedDRA: Injection site swelling, Rash pruritic — Feeling: GoodFree text: Huge itchy rash & swelling at the injection site. I have pictures. Started 10 days after the injection, got progressively larger & now covers most of my upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
-
2021-03-18
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: GoodFree text: Numbness left side of faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Good · Site: Redness, SwellingFree text: Temp rose to 102.9 by 9 pm last night so I took an adult dose of NyQuil. Woke up today w/ no chills, no aches, no fatigue & a normal temp of 97.6MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-10-01
Dose 3 — Moderna
- 2021-11-01
- 2021-11-05
- 2021-12-31
- 2022-04-01
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-09-12
Dose 5 — ModernaCo-administered: Flu
-
2022-10-07
Survey response — day 21, dose 5MedDRA: Cough, Fatigue, Malaise, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough, low grade fever & fatigue for 24 hrs after 5th shot. General malaise for the next 24 hrs.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-01 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-09-12 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Migraine aura without headache
Release 5 — day 14, dose 1
Symptoms: Huge itchy rash & swelling at the injection site. I have pictures. Started 10 days after the injection, got progressively larger & now covers most of my upper arm.
Release 5 — day 0, dose 2
Systemic reaction (other): Numbness left side of face
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Temp rose to 102.9 by 9 pm last night so I took an adult dose of NyQuil. Woke up today w/ no chills, no aches, no fatigue & a normal temp of 97.6
Release 12 — day 21, dose 5
Symptoms: Cough, low grade fever & fatigue for 24 hrs after 5th shot. General malaise for the next 24 hrs.
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Migraine with aura | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release