YSU-63603-14600
4 vaccinations
6 coded responses
38 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-10
Registered in v-safe
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pyrexia — Feeling: Good · FeverFree text: A day after vaccine shot, I had headache, fatigue, but I am fine today (second day after) except very slight fever in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
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2021-03-22
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site swelling, Rash, Urticaria — Feeling: GoodFree text: 2 hives that changed to one large rash with itching and swollen around vaccine shot area Monday thru Wednesday on second week. Now things are good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
- 2021-04-05
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pain — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Last night, my symptoms changed to moderate from mild with chills, headaches, body aches and fatigue. But today, its back to mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Site: Redness, Swelling, ItchingFree text: BackacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-12
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2021-04-19
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Ive had diarrhea 3 times within last 2 weeks. I am not sure if its related to vaccine shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-06
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2021-11-17
Dose 3 — Moderna
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2022-04-08
Survey response — 12 months, dose 2MedDRA: Chills, Headache, Injection site pain, Pain, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day after booster shot, I felt chills, body aches, light headache, sneezing and injection site aches. I got a booster shot on 11/17/21.MedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Dose 4 — Moderna
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2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-05-23
- 2022-05-25
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-22
- 2022-06-28
- 2022-08-17
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-17 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A day after vaccine shot, I had headache, fatigue, but I am fine today (second day after) except very slight fever in the morning.
Release 6 — day 14, dose 1
Symptoms: 2 hives that changed to one large rash with itching and swollen around vaccine shot area Monday thru Wednesday on second week. Now things are good.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Last night, my symptoms changed to moderate from mild with chills, headaches, body aches and fatigue. But today, its back to mild.
Systemic reaction (other): Backache
Release 7 — day 14, dose 2
Symptoms: Ive had diarrhea 3 times within last 2 weeks. I am not sure if its related to vaccine shots.
Release 11 — 12 months, dose 2
Symptoms: Day after booster shot, I felt chills, body aches, light headache, sneezing and injection site aches. I got a booster shot on 11/17/21.
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release