YMT-33494-01827
4 vaccinations
5 coded responses
45 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 194 / PA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Gingival pain, Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Right gum soreness but it may be from prior to vaccine. The injection on pain is less painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I had the rash before vaccine its just a little worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Abdominal painAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
-
2021-04-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
-
2021-04-21
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness and tired. I fell asleep this afternoon which is very rare for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-05
- 2021-05-12
- 2021-05-20
- 2021-07-07
- 2021-10-06
-
2021-10-22
Dose 3 — Moderna
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Malaise, Pain in extremity — Feeling: GoodFree text: Right arm pain for three days after Right arm pain for three days after vaccine. Right arm pain for three days after vaccine. Slight malaise the day after vaccine but it didn't affect my functioning.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-08
Dose 4 — Moderna
-
2022-04-09
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Strange feeling in throatMedDRA releases: 2024-11 · check-in free text available
- 2022-04-10
- 2022-04-11
- 2022-04-12
-
2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-05-01
- 2022-05-06
- 2022-05-16
- 2022-05-23
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Right gum soreness but it may be from prior to vaccine. The injection on pain is less painful
Systemic reaction (other): I had the rash before vaccine its just a little worse
Release 7 — day 14, dose 2
Symptoms: Dizziness and tired. I fell asleep this afternoon which is very rare for me.
Release 10 — day 7, dose 3
Systemic reaction (other): Right arm pain for three days after Right arm pain for three days after vaccine. Right arm pain for three days after vaccine. Slight malaise the day after vaccine but it didn't affect my functioning.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Strange feeling in throat
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Oropharyngeal discomfort | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release