YSB-15771-46078
4 vaccinations
5 coded responses
44 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 486 / MI
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Swelling, ItchingFree text: The itching had cleared up, but it flared up right after I ate a hard-boiled egg for breakfast. I had eggs on the day the itching started, too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
-
2021-03-07
Dose 2 — Moderna
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2021-03-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Rapid heartbeat since the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-06-06
- 2021-09-05
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2021-10-27
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mild pain around the injection site for dose one (left arm). My second shot and yesterday's booster shot were given in my right arm. I had a great deal of difficulty with my left arm for months after the first injection.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Hypopnoea, Pre-existing disease — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shallow breathing, increased arrhythmia (pre-existing condition)MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Ekevated heart rate (Fitbit)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
-
2022-05-02
Dose 4 — Moderna
- 2022-05-19
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-08-01
- 2022-10-31
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-07 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The itching had cleared up, but it flared up right after I ate a hard-boiled egg for breakfast. I had eggs on the day the itching started, too.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Rapid heartbeat since the vaccination
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild pain around the injection site for dose one (left arm). My second shot and yesterday's booster shot were given in my right arm. I had a great deal of difficulty with my left arm for months after the first injection.
Systemic reaction (other): Shallow breathing, increased arrhythmia (pre-existing condition)
Systemic reaction (other): Ekevated heart rate (Fitbit)
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 |
|---|---|---|---|---|
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypopnoea | · | · | ✓ |
| SRO | Injected limb mobility decreased | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release