YTD-11026-37341
3 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 613 / IL
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Ear pain, Headache, Lymph node pain, Pain in extremity, Pain in jaw, Pyrexia, Temporomandibular joint syndrome, Tremor — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: After receiving 2nd dose, 11 hours later I started having chills with shaking. I went to bed, woke at 2:30 with fever of 102.6, arm was VERY sore. Woke up at 11:30 am the next morning. Still had fever of 105.4 and a headache. Arm pain was still there but much better. Had a little food and stayed on the couch. Pulsating pain began in right ear, TMJ and glands below. Used hot compresses to ease pain. Went back to bed and slept for 4-5 hours. Jaw pain was better. Slept through the night. The next morning headache, jaw pain and arm were all better. Fever down to 100.4. Felt terrific at noon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-04
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-10-25
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-03
- 2021-11-08
- 2021-11-15
-
2021-11-22
Survey response — day 28, dose 3MedDRA: Arthralgia, Fatigue — Feeling: FairFree text: Pain in my joints and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Arthralgia, Lymph node pain, Musculoskeletal chest pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever, stabbing pain in my ribs, pain in my right TMJ, and tenderness in my glands.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
- 2022-04-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-25 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): After receiving 2nd dose, 11 hours later I started having chills with shaking. I went to bed, woke at 2:30 with fever of 102.6, arm was VERY sore. Woke up at 11:30 am the next morning. Still had fever of 105.4 and a headache. Arm pain was still there but much better. Had a little food and stayed on the couch. Pulsating pain began in right ear, TMJ and glands below. Used hot compresses to ease pain. Went back to bed and slept for 4-5 hours. Jaw pain was better. Slept through the night. The next morning headache, jaw pain and arm were all better. Fever down to 100.4. Felt terrific at noon.
Release 10 — day 28, dose 3
Symptoms: Pain in my joints and fatigue
Release 10 — day 35, dose 3
Symptoms: Fever, stabbing pain in my ribs, pain in my right TMJ, and tenderness in my glands.
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 | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Temporomandibular joint syndrome | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release