YRX-15912-01033
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 226 / VA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pruritus — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Very minor itching sensation in my armpit in the same arm I received the injection. A little red but pretty much nothing visible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: Good · Site: Pain · HeadacheFree text: Discomfort under my shot armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: GoodFree text: Slight discomfort under my left (shot) armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Legs have been aching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 28, dose 2MedDRA: Aphonia — Feeling: GoodFree text: Losing my voiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-05-27
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Pain in the arm that I was injected in. I had it originally after being vaccinated then it went away. Now it is back and I have had it for 2 weeks.I have not been to my Dr yet but if it continues next week I am going.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Very minor itching sensation in my armpit in the same arm I received the injection. A little red but pretty much nothing visible.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Discomfort under my shot arm
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Slight discomfort under my left (shot) arm
Release 5 — day 14, dose 2
Symptoms: Legs have been aching.
Release 6 — day 28, dose 2
Symptoms: Losing my voice
Release 8 — 3 months, dose 2
Symptoms: Pain in the arm that I was injected in. I had it originally after being vaccinated then it went away. Now it is back and I have had it for 2 weeks.I have not been to my Dr yet but if it continues next week I am going.
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 | Aphonia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release