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Y2A-15426-14456

4 vaccinations 8 coded responses 39 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
925 / CA
Registered
2021-03-19
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-19
    Registered in v-safe
  2. 2021-03-19
    Dose 1 — Moderna
  3. 2021-03-19
    Survey response — day 0, dose 1
    MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: My arm hurts a little bit. I felt slightly tired but it didn't stop me from daily activities.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-16
    Dose 2 — Moderna
  13. 2021-04-16
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Feeling hot, Insomnia, Thirst — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Feeling really thirsty. Had difficult sleeping because I felt warm and a bit anxious.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-30
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Chills, Fungal infection, Headache, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: A week after my covid vaccine I had slight headache, chills, low energy and body aches. This lasted a couple days. Then I ended up having a yeast infection. My period came 12 days after the vaccine and I had heavy cramping which I don't usually have.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-30
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-14
    Survey response — day 28, dose 2
    MedDRA: Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Dull ache in my mid back on my left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-05
    Dose 3 — Moderna
  29. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · None
    Adult check-in
  30. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: It feels hot around the area I got the shot
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Skin warm — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Hot around the area that I got the shot on
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  42. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-09-13
    Dose 4 — Moderna
  44. 2022-10-12
    Survey response — day 28, dose 4
    MedDRA: Menstrual disorder, Menstruation delayed — Feeling: Good
    Free text: I was struggling with my menstrual cycle. After the vaccine that month my period was late by almost a week or so
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-18
    Survey response — day 35, dose 4
    MedDRA: Office visit, Pituitary tumour — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I found out I have a pituitary tumor · Healthcare visit (other): I met with an endocrinologist and had blood work and an mri
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-18
    Report sent to call center — day 35, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  47. 2022-10-19
    Call successful
    Not applicable - Accidental Reporting
  48. 2022-10-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna
32021-11-05Moderna No
42022-09-13Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-30 Successful
2022-04-14
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18 Successful
2022-10-19
 Not applicable - Accidental Reporting

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): My arm hurts a little bit. I felt slightly tired but it didn't stop me from daily activities.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Feeling really thirsty. Had difficult sleeping because I felt warm and a bit anxious.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: A week after my covid vaccine I had slight headache, chills, low energy and body aches. This lasted a couple days. Then I ended up having a yeast infection. My period came 12 days after the vaccine and I had heavy cramping which I don't usually have. cut off by CDC

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Dull ache in my mid back on my left side

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): It feels hot around the area I got the shot

2021-11-07

Systemic reaction (other): Hot around the area that I got the shot on

Release 12 — day 28, dose 4

2022-10-12

Symptoms: I was struggling with my menstrual cycle. After the vaccine that month my period was late by almost a week or so

Release 12 — day 35, dose 4

2022-10-18

Symptoms: I found out I have a pituitary tumor
Healthcare visit (other): I met with an endocrinologist and had blood work and an mri

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
HCVOOffice visit · · ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFungal infection ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDMenstruation delayed · · ✓
SDPain ✓ ✓ ✓
SDPituitary tumour · · ✓
SROAnxiety ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site warmth · · ✓
SROInsomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSkin warm · · ✓
SROThirst ✓ ✓ ✓

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

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