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YZ4-15198-63214

2 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
954 / CA
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-04-14
    Dose 2 — Moderna
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Feeling cold, Hot flush, Palpitations, Peripheral coldness, Temperature regulation disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Overnight. Like hit flash that lasted for hours, yet chivering cold. Temp couldnt seem to regulate. Heart seemed to be racibg or working harder. I got up and took a bp med *labetrol 4 hours rarly which seemed to help. Durning day. Extremities extremely cold! I usually run warm ir hot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  9. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  10. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-12
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: My joints are arthritic achy. They have been excessive since shot, but blew off...now thought I should report b/c of the pattern. Its not just the arthetic joint that normally hurts, its finger joints, wrist joints, elbows, etc...normally just knee.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-04-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Overnight. Like hit flash that lasted for hours, yet chivering cold. Temp couldnt seem to regulate. Heart seemed to be racibg or working harder. I got up and took a bp med *labetrol 4 hours rarly which seemed to help. Durning day. Extremities extremely cold! I usually run warm ir hot.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: My joints are arthritic achy. They have been excessive since shot, but blew off...now thought I should report b/c of the pattern. Its not just the arthetic joint that normally hurts, its finger joints, wrist joints, elbows, etc...normally just knee. cut off by CDC

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
SDArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓
SROTemperature regulation disorder ✓ ✓ ✓

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