YWB-24037-11841
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 327 / FL
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-16
Registered in v-safe
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2021-04-16
Dose 1 — Moderna
- 2021-04-16
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just tenderness at the injection site ..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: just a very mild transitory itching sensation over various parts of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pruritus — Feeling: Good · HeadacheFree text: Slight transitory itching & mild headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-05-02
- 2021-05-07
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2021-05-14
Dose 2 — Moderna
- 2021-05-14
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-18
- 2021-05-19
- 2021-05-21
- 2021-05-30
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-26
- 2021-08-14
- 2021-11-13
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2021-12-01
Dose 3 — Moderna
- 2022-06-02
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2022-06-03
Dose 4 — Moderna
- 2022-06-03
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2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-06-05
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Slight itching on my hand in my injection site armMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-09
- 2022-06-12
- 2022-06-17
- 2022-06-26
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2022-07-02
Survey response — day 28, dose 4MedDRA: Chills, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Headache, Influenza A virus test positive, Myalgia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chills Headache, Dizzy. Short of Breath Diarreah Fatigue Muscle Aches. I took a Covid/ Flu PCR test. It came back negative for Covid but Positive for Influenza Type AMedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Survey response — day 35, dose 4MedDRA: Cough, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Headache, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: coughing, chest congestion, short of breath, lightheaded, headache, diarrhea, fatigue,MedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Survey response — day 42, dose 4MedDRA: Influenza A virus test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive for Influenza Type A as per Covid / Flu PCR Lab TestMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
- 2022-12-04
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-06-03 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Just tenderness at the injection site ..
Systemic reaction (other): just a very mild transitory itching sensation over various parts of my body.
Systemic reaction (other): Slight transitory itching & mild headache
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Slight itching on my hand in my injection site arm
Release 12 — day 28, dose 4
Symptoms: Chills Headache, Dizzy. Short of Breath Diarreah Fatigue Muscle Aches. I took a Covid/ Flu PCR test. It came back negative for Covid but Positive for Influenza Type A
Release 12 — day 35, dose 4
Symptoms: coughing, chest congestion, short of breath, lightheaded, headache, diarrhea, fatigue,
Release 12 — day 42, dose 4
Symptoms: Positive for Influenza Type A as per Covid / Flu PCR Lab Test
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release