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YTC-17342-08963

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
913 / CA
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-05-06
    Dose 2 — Moderna
  3. 2021-05-07
    Registered in v-safe
  4. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state — Feeling: Good
    Free text: I feel very confused today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Im completely symptom free today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-12
    Survey response — day 35, dose 2
    MedDRA: Feeding disorder, Malaise, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I was very sick on the last half of Wednesday and the first half of Thursday. I vomited my entire dinner Wed. 6/9/21. Couldnt eat Thursday morning. No fever, temperature 98.5F
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-08-05
    Survey response — 3 months, dose 2
    MedDRA: Dizziness, Feeding disorder, Headache, Hypersomnia, Influenza, Malaise, Mobility decreased, Muscular weakness — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I came down with the flu 8/2/21. Been in bed for 3 days. Still very sick. Muscles weak, dizzy, headache, sleeping all day, cant eat.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-11-04
    Survey response — 6 months, dose 2
    MedDRA: Gait disturbance, Mobility decreased, Muscular weakness — Feeling: Good · Be unable to do your normal daily activities
    Free text: I get temporary muscle weakness which prevents me from walking as far as intended or walking all that day. Next day I'm fine & return to regular activities.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-06
    Health check-in — 12 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-06Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): I feel very confused today.

2021-05-12

Systemic reaction (other): Im completely symptom free today

Release 9 — day 35, dose 2

2021-06-12

Symptoms: I was very sick on the last half of Wednesday and the first half of Thursday. I vomited my entire dinner Wed. 6/9/21. Couldnt eat Thursday morning. No fever, temperature 98.5F

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: I came down with the flu 8/2/21. Been in bed for 3 days. Still very sick. Muscles weak, dizzy, headache, sleeping all day, cant eat.

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: I get temporary muscle weakness which prevents me from walking as far as intended or walking all that day. Next day I'm fine & return to regular activities.

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ · ✓
SDFeeding disorder ✓ ✓ ✓
SDGait disturbance · · ✓
SDHeadache ✓ · ✓
SDHypersomnia ✓ · ✓
SDInfluenza ✓ · ✓
SDMalaise ✓ ✓ ✓
SDMobility decreased ✓ · ✓
SDMuscular weakness ✓ · ✓
SDVomiting ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release