YU4-21615-32627
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 346 / FL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
-
2021-04-01
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness, NauseaFree text: I was starting to feel a little tired before I even got my shot, so it could be unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Poor quality sleep — Feeling: Good · Headache, Fatigue or tirednessFree text: Believe symptoms are from not sleeping well and high pollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Pollakiuria, Renal disorder — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Worst has been low back pain and urinating all the time yesterday and overnight so it was obviously doing something to my kidneysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · HeadacheFree text: Pain in arm is only if something touches it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-12-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The day after my booster I had side effects but that isn't how your question is wordedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
- 2021-12-23
-
2021-12-30
Survey response — day 28, dose 3MedDRA: Dizziness — Feeling: FairFree text: Lightheadedness todayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-01-13
- 2022-03-03
- 2022-06-04
-
2022-10-10
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-11
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-12
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-01-10
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-12-02 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-10 | Pfizer-BioNTech | Flu |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I was starting to feel a little tired before I even got my shot, so it could be unrelated.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Believe symptoms are from not sleeping well and high pollen
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Worst has been low back pain and urinating all the time yesterday and overnight so it was obviously doing something to my kidneys
Systemic reaction (other): Pain in arm is only if something touches it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after my booster I had side effects but that isn't how your question is worded
Release 10 — day 28, dose 3
Symptoms: Lightheadedness today
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 | Dizziness | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Renal disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release