YS4-36265-21026
4 vaccinations
7 coded responses
42 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 295 / SC
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Tachycardia — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Tachycardia/regular rhythm for 15 minutes late morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: Good · Site: PainFree text: Heart palpitations for about 20 minutes this afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 1MedDRA: Aphasia, Memory impairment — Feeling: GoodFree text: I have no idea if this is vaccine related but since the first shot I seem to have memory blanks. Meaning I cant bring a word or name to my speakable memory. Ive had trouble at times remembering someones name as Ive aged but this seems dMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
-
2021-04-14
Dose 2 — Moderna
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-01
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Bone pain, Chills, Pain — Feeling: Good · Site: PainFree text: After I took the survey yesterday I had chills and deep bone pain in upper arm and shoulder on vaccine arm and generally felt achy for a few hours in the afternoon. It all passed by 6PM yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Anxiety, Feeling jittery, Palpitations, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Had heart palpitations and felt very jittery/anxious while laying in bed about to fall asleep. Nothing prompted this. It lasted about an hour. It happened after the last shots for a shorter period of timeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
-
2022-04-09
Dose 4 — Moderna
- 2022-04-19
- 2022-04-25
-
2022-04-30
Survey response — day 21, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: GoodFree text: Mild sore throat and morning and afternoon couch. I was exposed to someone diagnosed with the common cold. He tested negative to the flu and Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-14
- 2022-05-21
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2022-07-09
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Gastroenteritis viral, Headache, Nausea, SARS-CoV-2 test negative, Taste disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach bug. Diarrhea, nausea, headache. Took home Covid yesterday and was negative. Also for about 6 weeks certain foods taste different. Like coffee and alcoholic drinksMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tachycardia/regular rhythm for 15 minutes late morning
Systemic reaction (other): Heart palpitations for about 20 minutes this afternoon.
Release 6 — day 21, dose 1
Symptoms: I have no idea if this is vaccine related but since the first shot I seem to have memory blanks. Meaning I cant bring a word or name to my speakable memory. Ive had trouble at times remembering someones name as Ive aged but this seems d
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): After I took the survey yesterday I had chills and deep bone pain in upper arm and shoulder on vaccine arm and generally felt achy for a few hours in the afternoon. It all passed by 6PM yesterday
Systemic reaction (other): Had heart palpitations and felt very jittery/anxious while laying in bed about to fall asleep. Nothing prompted this. It lasted about an hour. It happened after the last shots for a shorter period of time
Release 11 — day 21, dose 4
Symptoms: Mild sore throat and morning and afternoon couch. I was exposed to someone diagnosed with the common cold. He tested negative to the flu and Covid.
Release 12 — 3 months, dose 4
Symptoms: Stomach bug. Diarrhea, nausea, headache. Took home Covid yesterday and was negative. Also for about 6 weeks certain foods taste different. Like coffee and alcoholic drinks
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 | Aphasia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Feeling jittery | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release