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YZC-31005-07533

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
920 / CA
Registered
2021-05-10
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-10
    Registered in v-safe
  3. 2021-05-10
    Dose 2 — Moderna
  4. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperacusis — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Hearing going in and out from my left ear.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Deafness unilateral, Dry mouth, Ear pain, Gingival pain, Glossodynia, Oral discomfort, Oral pain, Rhinorrhoea, Tenderness, Thirst, Toothache — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Hearing went in and out in left ear, earache in right ear. Hot, dry, sore mouth: sensitive gums, tongue, roof of mouth and tonsils. I couldn't quench my thirst.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Like a small hive or rash by my collarbone not sure if vaccine related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-17
    Survey response — day 7, dose 2
    MedDRA: Acne, Asthenia, Ear discomfort, Fatigue — Feeling: Good
    Free text: Not sure if COVID vaccine related, but randomly have gotten more acne, ears are a little more sensitive, overall more fatigued- hard to feel productive when energy is low
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-23
    Survey response — day 42, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: I feel itchy in different areas of my body, but not sure if related to any COVID
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-09
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Oropharyngeal pain — Feeling: Fair
    Free text: Achy joints. Slight sore throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-05-10
    Survey response — 12 months, dose 2
    MedDRA: Alopecia, COVID-19 — Feeling: Good
    Free text: I was told COVID related hair loss. I have ALOT of hair falling out. It is devastating.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-10Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Hearing going in and out from my left ear.

2021-05-12

Systemic reaction (other): Hearing went in and out in left ear, earache in right ear. Hot, dry, sore mouth: sensitive gums, tongue, roof of mouth and tonsils. I couldn't quench my thirst.

2021-05-16

Systemic reaction (other): Like a small hive or rash by my collarbone not sure if vaccine related

Release 8 — day 7, dose 2

2021-05-17

Systemic reaction (other): Not sure if COVID vaccine related, but randomly have gotten more acne, ears are a little more sensitive, overall more fatigued- hard to feel productive when energy is low

Release 9 — day 42, dose 2

2021-06-23

Symptoms: I feel itchy in different areas of my body, but not sure if related to any COVID

Release 9 — 3 months, dose 2

2021-08-09

Symptoms: Achy joints. Slight sore throat

Release 11 — 12 months, dose 2

2022-05-10

Symptoms: I was told COVID related hair loss. I have ALOT of hair falling out. It is devastating.

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
SDAlopecia · · ✓
SDArthralgia ✓ · ✓
SDCOVID-19 · · ✓
SDOropharyngeal pain ✓ · ✓
SDPruritus ✓ ✓ ✓
SROAcne ✓ ✓ ✓
SROAgeusia ✓ ✓ ○
SROAsthenia ✓ ✓ ✓
SRODeafness unilateral · · ✓
SRODry mouth · · ✓
SROEar discomfort ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGingival pain · · ✓
SROGlossodynia · · ✓
SROHyperacusis ✓ ✓ ✓
SROOral discomfort · · ✓
SROOral pain · · ✓
SRORash ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ○
SROTenderness · · ✓
SROThirst · · ✓
SROToothache ✓ ✓ ○
SROUrticaria · · ✓

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