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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

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache
    Adult check-in
  4. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-19
    Dose 2 — Moderna
  7. 2021-04-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches
    Adult check-in
  9. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  10. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  11. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  12. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-03
    Survey response — day 14, dose 2
    MedDRA: Migraine, Visual impairment — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  16. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-17
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Myalgia, Pain in extremity — Feeling: Good
    Free 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
  18. 2021-05-24
    Survey response — day 35, dose 2
    MedDRA: Metamorphopsia, Mood altered, Rash — Feeling: Good
    Free 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
  19. 2021-05-31
    Dose 3 — Moderna
    Co-administered: Flu
  20. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-07-06
    Dose 4 — Moderna
  25. 2022-07-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: 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 activities
    Adult check-in
  26. 2022-07-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  27. 2022-07-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  28. 2022-07-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-07-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-07-20
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-07-27
    Survey response — day 21, dose 4
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Mild itch at site of injection.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-08-03
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-08-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-08-17
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-10-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-01-04
    Survey response — 6 months, dose 4
    MedDRA: Visual impairment — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna
32021-05-31Moderna Flu
42022-07-06Moderna No

Free text

Release 8 — day 14, dose 2

2021-05-03

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

2021-05-17

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

2021-05-24

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

2022-07-27

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDInjection site pruritus · · ✓
SDMetamorphopsia ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDMood altered ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓

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