Y2T-21691-27400
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 610 / IL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
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2021-01-29
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, NauseaAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-12
Survey response — day 14, dose 1MedDRA: Feeling hot, Pruritus, Rash macular, Urticaria — Feeling: FairFree text: Small spoty red welts appeared one week after first injection below and medial to injection site. Welts formed into one large oval welt the next day, got bigger for the next two days, then began to fade. Was not painful, but warm and itchy when touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 21, dose 1MedDRA: Dry skin, Erythema, Skin exfoliation — Feeling: GoodFree text: Dry, scaly, and red skin behind and infront of armpits on both sides of body. Worse on injection site side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: GoodFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — day 7, dose 2MedDRA: Vertigo — Feeling: GoodFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Abnormal uterine bleeding, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Abnormal uterine bleeding · Healthcare visit (other): Phone call with Dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Vertigo positional — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Positional vertigoMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-28 | Unsuccessful | |
| 2021-08-27 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Small spoty red welts appeared one week after first injection below and medial to injection site. Welts formed into one large oval welt the next day, got bigger for the next two days, then began to fade. Was not painful, but warm and itchy when touch cut off by CDC
Release 4 — day 21, dose 1
Symptoms: Dry, scaly, and red skin behind and infront of armpits on both sides of body. Worse on injection site side.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Release 5 — day 7, dose 2
Systemic reaction (other): Vertigo
Release 8 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: Positional vertigo
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Abnormal uterine bleeding | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vertigo positional | ✓ | · | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release