YRM-21544-73309
4 vaccinations
5 coded responses
31 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 347 / FL
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
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2021-04-01
Registered in v-safe
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2021-04-01
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · HeadacheAdult check-in
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body achesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, 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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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
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2021-05-03
Survey response — day 14, dose 2MedDRA: Migraine, Visual impairment — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine over the weekend. Effected vision. Was not sure what it was at first, went to bed. Felt fine the next morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
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2021-05-17
Survey response — day 28, dose 2MedDRA: Asthenia, Myalgia, Pain in extremity — Feeling: GoodFree text: Not sure is if related, but experienced pain in the upper arm. Same area as the shot. Could not lift arm above shoulder. Weakness and muscle soreness. Getting better. Coicidence?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 35, dose 2MedDRA: Metamorphopsia, Mood altered, Rash — Feeling: GoodFree text: Kalaidescope vision. It is not all the time. Seems to happen when tired. While i have been in menopause several years, facial break outs, and hor.onal like mood changes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Dose 3 — ModernaCo-administered: Flu
- 2021-05-31
- 2021-07-21
- 2021-10-18
- 2022-04-19
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2022-07-06
Dose 4 — Moderna
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2022-07-07
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-07-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-07-10
- 2022-07-11
- 2022-07-15
- 2022-07-20
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2022-07-27
Survey response — day 21, dose 4MedDRA: Injection site pruritus — Feeling: GoodFree text: Mild itch at site of injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-10-05
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2023-01-04
Survey response — 6 months, dose 4MedDRA: Visual impairment — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-05-31 | Moderna | Flu |
| 4 | 2022-07-06 | Moderna | No |
Free text
Release 8 — day 14, dose 2
Symptoms: Migraine over the weekend. Effected vision. Was not sure what it was at first, went to bed. Felt fine the next morning.
Release 8 — day 28, dose 2
Symptoms: Not sure is if related, but experienced pain in the upper arm. Same area as the shot. Could not lift arm above shoulder. Weakness and muscle soreness. Getting better. Coicidence?
Release 8 — day 35, dose 2
Symptoms: Kalaidescope vision. It is not all the time. Seems to happen when tired. While i have been in menopause several years, facial break outs, and hor.onal like mood changes.
Release 12 — day 21, dose 4
Symptoms: Mild itch at site of injection.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Metamorphopsia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Mood altered | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release