YQB-17555-29793
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 120 / NY
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
-
2021-02-25
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: RednessFree text: 10 days after my first injection I developed a red itchy area about 10 by 1 at the area of the injection. This is day5. Its fading but still thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
- 2021-03-17
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hyperhidrosis — Feeling: Good · NauseaFree text: This morning when I got out of bed I went into the bathroom. When I sat I experienced extreme diaphoresis and and Felt extremely faint. I considered calling 911. The experience was that severe. I just sat and the entire episode passed in about 10 minutes. I have never had an experience like this ever. Very quickly I gained my strength back and proceeded with my day. I have felt completely normal for the rest of this dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Positive Covid test 1/3/2022MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-15 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): 10 days after my first injection I developed a red itchy area about 10 by 1 at the area of the injection. This is day5. Its fading but still there
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): This morning when I got out of bed I went into the bathroom. When I sat I experienced extreme diaphoresis and and Felt extremely faint. I considered calling 911. The experience was that severe. I just sat and the entire episode passed in about 10 minutes. I have never had an experience like this ever. Very quickly I gained my strength back and proceeded with my day. I have felt completely normal for the rest of this day
Release 11 — 12 months, dose 2
Symptoms: Positive Covid test 1/3/2022
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release