YT5-17785-68578
4 vaccinations
9 coded responses
46 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Joint painsAdult check-in
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Vaccination site mass, Vaccination site pain — Feeling: Good · Site: SwellingFree text: There is just a lump where I received the vaccine and it is mildly tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site mass — Feeling: Good · Site: SwellingFree text: I still have a big lump at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site mass — Feeling: Good · Site: SwellingFree text: There is still a lump at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: SwellingFree text: The swelling and injection site is finally subsiding but still a short bit tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 7, dose 2MedDRA: Injection site mass — Feeling: Good · Site: SwellingFree text: The lump at the injection site is receding but its not completely gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-09-04
Dose 3 — Moderna
-
2021-09-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-06
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, NauseaFree text: Mild, Intermittent DizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-07
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · HeadacheFree text: A few VERY mild seconds of dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · FeverFree text: Occasional, mild dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-09-09
- 2021-09-10
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-12-04
- 2022-03-05
-
2022-04-12
Dose 4 — Moderna
- 2022-04-13
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: GoodFree text: A beyond mild slight headache on and off for several hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-28
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-09-04 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): There is just a lump where I received the vaccine and it is mildly tender.
Systemic reaction (other): I still have a big lump at the injection site.
Systemic reaction (other): There is still a lump at the injection site.
Systemic reaction (other): The swelling and injection site is finally subsiding but still a short bit tender.
Release 4 — day 7, dose 2
Systemic reaction (other): The lump at the injection site is receding but its not completely gone.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Mild, Intermittent Dizziness
Systemic reaction (other): A few VERY mild seconds of dizziness
Systemic reaction (other): Occasional, mild dizziness
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): A beyond mild slight headache on and off for several hours.
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 | Dizziness | ✓ | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Vaccination site mass | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release