YVR-16558-39078
1 vaccination
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 290 / SC
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Depression, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · HeadacheFree text: Sneezing, runny nose, depressionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Asthenopia, Insomnia — Feeling: Poor · Site: Pain · HeadacheFree text: It was severe enough that I had trouble sleeping. In fact, last evening my right eye felt heavy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · HeadacheFree text: Didnt feel quite right in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Good · HeadacheFree text: A little irritableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Question: If I had/have a headache from the first dose that has lasted on and off for days, should I still get the second dose?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-06
Survey response — day 7, dose 1MedDRA: Migraine — Feeling: Good · HeadacheFree text: I have had migraines in the past. I think the vaccine triggered them again. Should I get the second dose?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-11
- 2021-06-29
- 2021-09-28
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2022-04-01
Survey response — 12 months, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I always have mucus.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sneezing, runny nose, depression
Systemic reaction (other): It was severe enough that I had trouble sleeping. In fact, last evening my right eye felt heavy.
Systemic reaction (other): Didnt feel quite right in the morning.
Systemic reaction (other): A little irritable
Systemic reaction (other): Question: If I had/have a headache from the first dose that has lasted on and off for days, should I still get the second dose?
Release 7 — day 7, dose 1
Systemic reaction (other): I have had migraines in the past. I think the vaccine triggered them again. Should I get the second dose?
Release 11 — 12 months, dose 1
Symptoms: I always have mucus.
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 | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release