YU9-31836-26255
3 vaccinations
2 coded responses
38 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 856 / AZ
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Heart rate increased, Nausea, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Tinnitus and elevated heart rate for about 30 mins, then chills and nausea set inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Discomfort, Mobility decreased, Muscle contracture, Pain of skin, Seizure, Skin burning sensation, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body achesFree text: I wanted to report the repeated occurrences of chills I experienced, 12 hrs following the injection, were extreme to the point of full body convulsions. Followed immediately by extreme burning sensation and tenderness of the skin (body wide) for over 6 hours. I was unable to leave my bed to obtain my temperature for many hours, but finally was able to check if I was starting a rash from how sensitive my skin was everywhere. My back and neck muscles were so contracted that I was unable to sleep or get comfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-22
Dose 3 — Moderna
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
-
2021-10-29
Health check-in — day 7, dose 3Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Tinnitus and elevated heart rate for about 30 mins, then chills and nausea set in
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I wanted to report the repeated occurrences of chills I experienced, 12 hrs following the injection, were extreme to the point of full body convulsions. Followed immediately by extreme burning sensation and tenderness of the skin (body wide) for over 6 hours. I was unable to leave my bed to obtain my temperature for many hours, but finally was able to check if I was starting a rash from how sensitive my skin was everywhere. My back and neck muscles were so contracted that I was unable to sleep or get comfortable.
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Muscle contracture | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release