3YM-11501-02335
5 vaccinations
4 coded responses
64 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 018 / MA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
-
2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Upper abdominal discomfort, low grade. Does not impact daily functioning but has been increasing over last week or so. Will see primary care provider tomorrow to assess since unusual symptom for me. Also ask about any additional allergy relief aids. · Healthcare visit (other): PCP office, tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-11-07
Dose 3 — Moderna
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2022-01-20
- 2022-02-06
-
2022-04-18
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Abnormal dreams — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Unusual dreams last nightMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
-
2022-04-25
Survey response — day 7, dose 4MedDRA: Rhinorrhoea — Feeling: Good · HeadacheFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
-
2022-10-20
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Diarrhoea, Headache, Myalgia, Nausea, Oropharyngeal pain, Presyncope, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVID diagnosed 10/18/22. Fever to 100.5, myalgias, headache, cough, sore throat. One episode of near syncope with nausea and some diarrhea.MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-21
Call successfulParticipant prefers to complete VAERS report online
-
2023-01-22
Dose 5 — Moderna
- 2023-01-22
-
2023-01-23
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2023-01-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2023-01-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2023-01-26
- 2023-01-27
- 2023-01-28
- 2023-01-29
- 2023-02-05
- 2023-02-12
- 2023-02-19
- 2023-02-28
- 2023-03-05
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2023-01-22 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 6 — day 21, dose 1
Symptoms: Upper abdominal discomfort, low grade. Does not impact daily functioning but has been increasing over last week or so. Will see primary care provider tomorrow to assess since unusual symptom for me. Also ask about any additional allergy relief aids. cut off by CDC
Healthcare visit (other): PCP office, tomorrow
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Unusual dreams last night
Release 11 — day 7, dose 4
Systemic reaction (other): Runny nose
Release 12 — 6 months, dose 4
Symptoms: COVID diagnosed 10/18/22. Fever to 100.5, myalgias, headache, cough, sore throat. One episode of near syncope with nausea and some diarrhea.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Abnormal dreams | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release