YRC-16431-89088
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-28
Registered in v-safe
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2021-04-28
Dose 1 — Moderna
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2021-04-28
Survey response — day 0, dose 1MedDRA: Brain fog, Fatigue, Headache — Feeling: Fair · Site: PainFree text: I feel a slight brain irritation like the incoming of a headache + slightly tired + slight brainfog.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to workAdult check-in
- 2021-05-01
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: Late last night I had a pea size itchy hive on my neck/throat last night, after it went away I got another one on my right arm (opposite arm of injection) near my elbow, very itchy. They both lasted about 30min to an hour each and then dissipated..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: I had a couple more itchy pea sized hives last night around 10-11pm. Same time they happened the night before but one on my right cheek, and one on the back of my right shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I developed a slight rash on my left forearm earlier today that got red and itchy but went away after about 30minMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 7, dose 1MedDRA: Eye irritation, Irritability, Urticaria — Feeling: FairFree text: I woke up with a pea sized hives on my right shoulder/upper breast area this morning. It went away after about 40min. I also feel mild brain and eye irritation today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
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2021-05-26
Dose 2 — Moderna
- 2021-05-26
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-03
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-08-25
- 2021-11-25
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2021-12-12
Dose 3 — Moderna
- 2022-05-26
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2022-09-30
Dose 4 — Moderna
- 2022-10-06
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-26 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): I feel a slight brain irritation like the incoming of a headache + slightly tired + slight brainfog.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Late last night I had a pea size itchy hive on my neck/throat last night, after it went away I got another one on my right arm (opposite arm of injection) near my elbow, very itchy. They both lasted about 30min to an hour each and then dissipated..
Systemic reaction (other): I had a couple more itchy pea sized hives last night around 10-11pm. Same time they happened the night before but one on my right cheek, and one on the back of my right shoulder.
Systemic reaction (other): I developed a slight rash on my left forearm earlier today that got red and itchy but went away after about 30min
Release 8 — day 7, dose 1
Systemic reaction (other): I woke up with a pea sized hives on my right shoulder/upper breast area this morning. It went away after about 40min. I also feel mild brain and eye irritation today.
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 |
|---|---|---|---|---|
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release