YSQ-16860-09667
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 756 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Constipation, Diarrhoea, Self-medication, Vomiting — Feeling: Fair · Site: PainFree text: I had SI joint fusion surgery the day before I received the vaccine (Jan 6). On Jan 8 ( day after vaccine) I took Milk of Magnesia for constipation. I had a fentanyl pain patch and had taken three hydrocodone the previous two days. I had severe stomach cramps, diarrhea and vomiting off and on all day Friday. I'm not sure if it was a result of the surgery, pain medication, vaccine or Milk or Magnesia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Nausea — Feeling: GoodFree text: NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-18
Survey response — day 42, dose 2MedDRA: Nausea — Feeling: GoodFree text: NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-08-05
-
2021-09-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-29
- 2021-11-05
- 2021-12-24
- 2022-03-25
- 2022-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I had SI joint fusion surgery the day before I received the vaccine (Jan 6). On Jan 8 ( day after vaccine) I took Milk of Magnesia for constipation. I had a fentanyl pain patch and had taken three hydrocodone the previous two days. I had severe stomach cramps, diarrhea and vomiting off and on all day Friday. I'm not sure if it was a result of the surgery, pain medication, vaccine or Milk or Magnesia.
Release 4 — day 21, dose 2
Symptoms: Nausea
Release 5 — day 28, dose 2
Symptoms: Nausea
Release 5 — day 42, dose 2
Symptoms: Nausea
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 | Nausea | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release