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YYJ-15510-37956

4 vaccinations 4 coded responses 26 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
770 / TX
Registered
2021-01-06
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Limb discomfort — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: I injected on my left side shoulder. Right after injection my left leg feel wired, while I was walking, my left leg felt different, not painful,it was just wired. 30minutes later everything was normal. When I went back home, I can feel my left leg still didn't feel right.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Site: Pain · Fever · Chills
    Free text: tired,extremely want to sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral, Pruritus — Feeling: Good
    Free text: my legs feel very itchy. Not sure if that's true or not, I feel numb on lips for at least 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-03
    Dose 2 — Moderna
  13. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness
    Adult check-in
  17. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Diarrhea
    Adult check-in
  18. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Hypoaesthesia oral — Feeling: Good
    Free text: my lip feel num. Its been a while since the first injection, Im not sure if thats coursed by vaccines or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-27
    Dose 3 — Pfizer-BioNTech
  28. 2022-02-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-06-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-07-28
    Dose 4 — Pfizer-BioNTech
  31. 2022-10-27
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna
32021-12-27Pfizer-BioNTech No
42022-07-28Pfizer-BioNTech No

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): I injected on my left side shoulder. Right after injection my left leg feel wired, while I was walking, my left leg felt different, not painful,it was just wired. 30minutes later everything was normal. When I went back home, I can feel my left leg still didn't feel right.

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): tired,extremely want to sleep

2021-01-11

Systemic reaction (other): my legs feel very itchy. Not sure if that's true or not, I feel numb on lips for at least 2 days.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: my lip feel num. Its been a while since the first injection, Im not sure if thats coursed by vaccines or not.

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
SDHypoaesthesia oral ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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