Y2U-13592-17117
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 119 / NY
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
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2021-02-03
Survey response — day 14, dose 1MedDRA: Erythema, Feeling hot, Induration, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesFree text: The red patch on my arm got worse for 3 days, it was about 4 inches in diameter and it hurt was hot and itchy and hard, slightly raised. Then it faded and is almost gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 21, dose 1MedDRA: Arthralgia, Irritability, Neck pain, Pain in extremity — Feeling: GoodFree text: Very sore arm, shoulder and neck of unexplained reason but not the same arm as shot was given. Extreme irritability in mood, also unexplained. I am considering these conditions unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-20
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-13
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2021-03-20
Survey response — day 28, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 35, dose 2MedDRA: Diarrhoea, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very tiredLoose bowels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-05-22
Survey response — 3 months, dose 2MedDRA: Biopsy, Heavy menstrual bleeding, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I got my period and it bled heavily for 5.5 weeks. Thats is about 39 days. After 2 weeks, I got a trnsvaginal Ultrasound and a uterus biopsy that showed disordered proliferation endometrium. Ultrasound showed thick uterus lining of 20 mm if I reca · Healthcare visit (other): Went to Ob/gynMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-14
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-22 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: The red patch on my arm got worse for 3 days, it was about 4 inches in diameter and it hurt was hot and itchy and hard, slightly raised. Then it faded and is almost gone now.
Release 4 — day 21, dose 1
Symptoms: Very sore arm, shoulder and neck of unexplained reason but not the same arm as shot was given. Extreme irritability in mood, also unexplained. I am considering these conditions unrelated to the vaccine.
Release 6 — day 28, dose 2
Symptoms: Headache sore throat.
Release 6 — day 35, dose 2
Symptoms: Very tiredLoose bowels.
Release 8 — 3 months, dose 2
Symptoms: I got my period and it bled heavily for 5.5 weeks. Thats is about 39 days. After 2 weeks, I got a trnsvaginal Ultrasound and a uterus biopsy that showed disordered proliferation endometrium. Ultrasound showed thick uterus lining of 20 mm if I reca
Healthcare visit (other): Went to Ob/gyn
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Biopsy | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Induration | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release