YUZ-17038-96412
4 vaccinations
3 coded responses
38 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 154 / PA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
JWQ-22018-62939
Child or adolescent in my care · Male · 2021-08-14
K38-10144-21842
Adult relative or friend · Male · 2021-08-14
599-26437-40998
Child or adolescent in my care · Male · 2021-08-14
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: One week after the vaccine my arm had a slightly raised red bump at the injection site the size about an inch across. Itched and newly sore to the touch. Felt like a lump under my skin that was very hard. But went away in a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
-
2021-03-16
Dose 2 — Moderna
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Mass, Pain, Pain in extremity, Swelling, Tenderness — Feeling: GoodFree text: Day 1 sore arm & tired; day 2 sore arm, achy, chills, tender & swollen clavicle; clavicle still tender until today.Today only lump on clavicle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-17
-
2021-09-21
Survey response — 6 months, dose 2MedDRA: Nasal congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sneezy, stuffy, runny noseNot COVID had rapid and pace both negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-06-21
Dose 4 — Moderna
- 2022-06-21
-
2022-06-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-23
- 2022-08-04
- 2022-09-20
- 2022-12-23
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-06-21 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: One week after the vaccine my arm had a slightly raised red bump at the injection site the size about an inch across. Itched and newly sore to the touch. Felt like a lump under my skin that was very hard. But went away in a few days.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Day 1 sore arm & tired; day 2 sore arm, achy, chills, tender & swollen clavicle; clavicle still tender until today.Today only lump on clavicle.
Release 9 — 6 months, dose 2
Symptoms: Sneezy, stuffy, runny noseNot COVID had rapid and pace both negative
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release