YY3-16724-05504
4 vaccinations
5 coded responses
47 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-30
Dose 1 — Moderna
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2021-02-08
Registered in v-safe
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2021-02-08
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-02-13
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: FairFree text: On day 8 after vaccine. Got a big red itchy hard spot at vaccination point. Took benedryl...today is day14 and its getting better spreading out more and getting lighter but developed pain which moved from shoulder to neck.. still taking benedryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
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2021-02-27
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Rash — Feeling: Good · Site: Redness, ItchingFree text: Rash by injection site is getting larger and spreading out around my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, ItchingFree text: Redness keeps getting lower on my arm like its spreading downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 7, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, ItchingFree text: Redness moving lower on armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
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2021-10-23
Dose 3 — Moderna
- 2021-10-23
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-10-30
- 2021-11-06
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2021-11-13
Survey response — day 21, dose 3MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
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2022-04-21
Dose 4 — Moderna
- 2022-04-21
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-22
- 2022-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: On day 8 after vaccine. Got a big red itchy hard spot at vaccination point. Took benedryl...today is day14 and its getting better spreading out more and getting lighter but developed pain which moved from shoulder to neck.. still taking benedryl.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Rash by injection site is getting larger and spreading out around my arm
Systemic reaction (other): Redness keeps getting lower on my arm like its spreading down
Release 5 — day 7, dose 2
Systemic reaction (other): Redness moving lower on arm
Release 10 — day 21, dose 3
Symptoms: Fatigue
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 | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release