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YRP-13840-78674

5 vaccinations 10 coded responses 39 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
689 / NE
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache
    Adult check-in
  4. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vaccination site swelling — Feeling: Good · Site: Pain, Swelling
    Free text: I didnt notice until getting ready for bed that the vaccination site was swollen yesterday also. I hadnt reported that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  10. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Musculoskeletal discomfort — Feeling: Good
    Free text: My left knee has started bothering me. It has never bothered me before. However, I doubt this has anything to do with the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Ear pain, Eye pruritus, Pre-existing disease, Rhinorrhoea — Feeling: Good
    Free text: Allergies. Runny nose, itchy eyes, earache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: My normal temperature is 98.0. Sometimes felt like my bones hurt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness, Malaise — Feeling: Good · Site: Pain, Swelling · Joint pains
    Free text: On Wednesday evening my fever went up to 99.9 but I was unable to get back into the system to change my earlier report. Felt terrible, symptoms like influenza. Wednesday the bad symptoms and fever were gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-20
    Survey response — day 21, dose 2
    MedDRA: Back pain — Feeling: Fair
    Free text: Back pain behind shoulders.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-16
    Dose 3 — Moderna
  28. 2022-03-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-06-09
    Dose 4 — Moderna
  30. 2022-11-02
    Dose 5 — Moderna
  31. 2022-11-02
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  32. 2022-11-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-11-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  34. 2022-11-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-11-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache
    Adult check-in
  36. 2022-11-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-11-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  38. 2022-11-09
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  39. 2022-11-16
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  40. 2022-11-23
    Survey response — day 21, dose 5
    MedDRA: Headache, Paranasal sinus hypersecretion — Feeling: Fair
    Free text: Sinus drainage. Headache. Hopefully allergy related and not illness.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-11-30
    Survey response — day 28, dose 5
    MedDRA: Haemoptysis, Paranasal sinus hypersecretion, Sneezing — Feeling: Fair
    Free text: Sinus drainage. Sneezing. Bloody phlegm in mornings.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-12-07
    Survey response — day 35, dose 5
    MedDRA: Chills, Cough, Dysphonia, Nasopharyngitis, Patient isolation, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sunday I woke up with chills. I took a home test for Covid and it was positive. Repeated test 24 hours later, again positive. Feels similar to a severe head cold. Sneezing, runny nose, raspy throat, sometimes coughing. Am improving. Staying isolated.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-12-14
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  44. 2023-02-02
    Survey response — 3 months, dose 5
    MedDRA: COVID-19, Nasal congestion, Sinus congestion — Feeling: Good
    MedDRA releases: 2024-11
  45. 2023-05-03
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-11-16Moderna No
42022-06-09Moderna No
52022-11-02Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I didnt notice until getting ready for bed that the vaccination site was swollen yesterday also. I hadnt reported that.

Release 5 — day 14, dose 1

2021-03-16

Symptoms: My left knee has started bothering me. It has never bothered me before. However, I doubt this has anything to do with the vaccine.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Allergies. Runny nose, itchy eyes, earache.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): My normal temperature is 98.0. Sometimes felt like my bones hurt.

2021-04-02

Systemic reaction (other): On Wednesday evening my fever went up to 99.9 but I was unable to get back into the system to change my earlier report. Felt terrible, symptoms like influenza. Wednesday the bad symptoms and fever were gone.

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Back pain behind shoulders.

Release 12 — day 21, dose 5

2022-11-23

Symptoms: Sinus drainage. Headache. Hopefully allergy related and not illness.

Release 12 — day 28, dose 5

2022-11-30

Symptoms: Sinus drainage. Sneezing. Bloody phlegm in mornings.

Release 12 — day 35, dose 5

2022-12-07

Symptoms: Sunday I woke up with chills. I took a home test for Covid and it was positive. Repeated test 24 hours later, again positive. Feels similar to a severe head cold. Sneezing, runny nose, raspy throat, sometimes coughing. Am improving. Staying isolated. cut off by CDC

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
SDBack pain ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDysphonia · · ✓
SDEar pain ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDHaemoptysis · · ✓
SDHeadache · · ✓
SDMusculoskeletal discomfort ✓ ✓ ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDParanasal sinus hypersecretion · · ✓
SDPatient isolation · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus congestion · · ✓
SDSneezing · · ✓
SROInfluenza like illness ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVaccination site swelling ✓ ✓ ✓

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