YX5-12184-15442
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 033 / NH
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Asthenopia — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Itchy tired eyes- as if I just had a long crying jagMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Rhinorrhoea — Feeling: Good · Site: PainFree text: Drippy, runny nose and itchy eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Restless legs syndrome — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tingling in my fingers and toes and restless legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Metallic taste in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 28, dose 2MedDRA: Muscular weakness — Feeling: GoodFree text: Since my second shot I have had weakness in my leg muscles. I didnt really think much of it at first, but it has persisted. It was one of the side effects I had within the first 48 hours. It lessened, considerably but has never fully resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy tired eyes- as if I just had a long crying jag
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Drippy, runny nose and itchy eyes
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling in my fingers and toes and restless legs
Systemic reaction (other): Metallic taste in my mouth
Systemic reaction (other): Hot flashes
Release 6 — day 28, dose 2
Symptoms: Since my second shot I have had weakness in my leg muscles. I didnt really think much of it at first, but it has persisted. It was one of the side effects I had within the first 48 hours. It lessened, considerably but has never fully resolved.
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 | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release