YYP-19740-05354
4 vaccinations
8 coded responses
52 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Egocentrism, Headache — Feeling: Good · Site: Pain · HeadacheFree text: The headache was during the night & I took Advil at about 5am. The headache came back as the medicine wore off so I took more Advil. Been fine sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache went away yesterday but then came back last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain in extremity, Poor quality sleep — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Did not sleep well due to arm pain so I believe that is the cause of my fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort, Restless legs syndrome — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Legs felt restless last night-muscles on the back of my legs felt like they needed to move and be stretched- feeling better today. Was not painful but very uncomfortable feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache last night but seems to be gone todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · HeadacheFree text: Very mild- on and off through out the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-29
- 2021-04-03
- 2021-04-11
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-29
Dose 3 — ModernaCo-administered: Flu
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
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2022-09-23
Dose 4 — Moderna
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
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2022-10-14
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: RSV/coldMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
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2022-10-30
Survey response — day 35, dose 4MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with flu AMedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-01
Call successfulDoes not wish to fill out VAERS report
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-30 | Successful 2022-11-01 |
Does not wish to fill out VAERS report |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The headache was during the night & I took Advil at about 5am. The headache came back as the medicine wore off so I took more Advil. Been fine since
Systemic reaction (other): Headache went away yesterday but then came back last night
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Did not sleep well due to arm pain so I believe that is the cause of my fatigue
Systemic reaction (other): Legs felt restless last night-muscles on the back of my legs felt like they needed to move and be stretched- feeling better today. Was not painful but very uncomfortable feeling
Systemic reaction (other): Headache last night but seems to be gone today
Systemic reaction (other): Very mild- on and off through out the night
Release 12 — day 21, dose 4
Symptoms: RSV/cold
Release 12 — day 35, dose 4
Symptoms: Diagnosed with flu A
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Egocentrism | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release