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YWA-10812-18117

5 vaccinations 2 coded responses 42 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
775 / TX
Registered
2021-01-04
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Moderna
  3. 2021-01-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-01
    Dose 2 — Moderna
  5. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-27
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Hot flush, Pain in extremity — Feeling: Fair
    Free text: Pain in left arm (injection) and shoulder. I experienced hot flashes immediately after the first dose but it went away w/in a wk. Since the 2nd dose they are occurring daily. I never stated this because I didn't think it could be a symptom.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-31
    Dose 3 — Moderna
  18. 2022-02-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-09
    Dose 4 — Moderna
  20. 2022-04-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  21. 2022-04-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  22. 2022-04-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-04-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-04-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-09-24
    Dose 5 — Moderna
  34. 2022-09-24
    Health check-in — day 0, dose 5
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  35. 2022-09-25
    Survey response — days 1–6 daily, dose 5
    MedDRA: Asthenia, Injection site paraesthesia, Injection site warmth, Tension headache — Feeling: Good · Site: Pain, Itching · Fever · Headache
    Free text: Off and on between 12am and 5am, the site felt as if heat was coming from within the area. The site surrounding area was warm to the touch. From 1- 2pm I felt a tingling sensation from the injection site/a tense headache. The headache slowed me down
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  38. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  39. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-09-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-10-01
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  42. 2022-10-09
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-10-15
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-10-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-10-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-11-05
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-12-24
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  48. 2023-03-27
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-01Moderna
32021-08-31Moderna No
42022-04-09Moderna No
52022-09-24Moderna No

Free text

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Pain in left arm (injection) and shoulder. I experienced hot flashes immediately after the first dose but it went away w/in a wk. Since the 2nd dose they are occurring daily. I never stated this because I didn't think it could be a symptom.

Release 12 — days 1–6 daily, dose 5

2022-09-25

Systemic reaction (other): Off and on between 12am and 5am, the site felt as if heat was coming from within the area. The site surrounding area was warm to the touch. From 1- 2pm I felt a tingling sensation from the injection site/a tense headache. The headache slowed me down cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROAsthenia · · ✓
SROInjection site paraesthesia · · ✓
SROInjection site warmth · · ✓
SROTension headache · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release