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YPP-25027-66317

4 vaccinations 14 coded responses 31 check-ins 14 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
956 / CA
Registered
2021-04-27
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Dose 1 — Moderna
  2. 2021-04-27
    Registered in v-safe
  3. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Productive cough — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Phelgm.No upper back pain today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Survey response — day 7, dose 1
    MedDRA: Cough — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Cough occasionally
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-07
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-05-14
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-05-21
    Dose 2 — Moderna
  9. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Good · Chills, Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Fair · Chills, Joint pains, Muscle or body aches
    Free text: Right upper middle back hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  12. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Muscle or body aches · Be unable to work
    Free text: Only right upper shoulder is painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Upper right back hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthropathy, Neck pain, Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Upper right shoulder,right side neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  16. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-11
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Fatigue, Flank pain, Gait disturbance, Headache, Thinking abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches.Intermintment pain in right shoulder,sometimes left shoulder.Some days hard to think,tired,no stamina,right side will hurt,shuffle instead walk
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-18
    Survey response — day 28, dose 2
    MedDRA: Cough, Headache, Throat irritation — Feeling: Good
    Free text: Headaches 3 times this week.Half the day.Cough,tickle in throat a couple days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-24
    Dose 3 — Moderna
  23. 2022-05-03
    Dose 4 — Pfizer-BioNTech
  24. 2022-05-03
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2022-05-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain
    Adult check-in
  26. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  27. 2022-05-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Brain fog, Fatigue — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Foggy brain.fatique.left shoulder aches
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Brain fog, Fatigue, Headache, Injection site pain, Nausea, Pain, Pyrexia, Self-medication — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Fever early morning,heafache,nausea.Headache severe.Finally took tynoel.Pain,hrafache,nausea went away.This boostet shot was the shortest timed shot I've had &injection site during & after least painful.Was foggy brained yesterday-mild tired today,in
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  30. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  31. 2022-05-10
    Survey response — day 7, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-19
    Survey response — day 14, dose 4
    MedDRA: Brain fog, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Foggy brain,fatigue,sleepy
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-24
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  34. 2022-05-31
    Survey response — day 28, dose 4
    MedDRA: Arthralgia, Back pain, Brain fog, Chills, Fatigue, Headache, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pain inright leg at night.Upper right back pain every day.Chills 2 different days.Headache came back-every day now.Foggy thinking.Fatigue every day.Some joint pain,now mild.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-06-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-14
    Survey response — day 42, dose 4
    MedDRA: Back pain, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Baxk hurts,middle,intense pain.aCongested.Slight headache.Tired.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna
32021-12-24Moderna No
42022-05-03Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Phelgm.No upper back pain today

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): Cough occasionally

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Right upper middle back hurts

2021-05-24

Systemic reaction (other): Only right upper shoulder is painful

2021-05-25

Systemic reaction (other): Upper right back hurts

2021-05-26

Systemic reaction (other): Upper right shoulder,right side neck

Release 9 — day 21, dose 2

2021-06-11

Symptoms: Headaches.Intermintment pain in right shoulder,sometimes left shoulder.Some days hard to think,tired,no stamina,right side will hurt,shuffle instead walk

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Headaches 3 times this week.Half the day.Cough,tickle in throat a couple days

Release 11 — days 1–6 daily, dose 4

2022-05-06

Systemic reaction (other): Foggy brain.fatique.left shoulder aches

2022-05-07

Systemic reaction (other): Fever early morning,heafache,nausea.Headache severe.Finally took tynoel.Pain,hrafache,nausea went away.This boostet shot was the shortest timed shot I've had &injection site during & after least painful.Was foggy brained yesterday-mild tired today,in cut off by CDC

Release 11 — day 7, dose 4

2022-05-10

Systemic reaction (other): Sore throat

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Foggy brain,fatigue,sleepy

Release 11 — day 28, dose 4

2022-05-31

Symptoms: Pain inright leg at night.Upper right back pain every day.Chills 2 different days.Headache came back-every day now.Foggy thinking.Fatigue every day.Some joint pain,now mild.

Release 12 — day 42, dose 4

2022-06-14

Symptoms: Baxk hurts,middle,intense pain.aCongested.Slight headache.Tired.

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
SDArthralgia ✓ ✓ ✓
SDBack pain · · ✓
SDBrain fog · · ✓
SDChills · · ✓
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFlank pain ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain in extremity · · ✓
SDRespiratory tract congestion · · ✓
SDSomnolence · · ✓
SDThinking abnormal ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthropathy ✓ · ✓
SROBack pain ✓ ✓ ✓
SROBrain fog · · ✓
SROCough ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SRONausea · · ✓
SRONeck pain ○ ✓ ○
SROOropharyngeal pain · · ✓
SROPain · · ✓
SROProductive cough ✓ ✓ ✓
SROPyrexia · · ✓
SROSelf-medication · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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