Y3L-12898-02458
5 vaccinations
13 coded responses
20 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 064 / CT
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
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2021-03-11
Dose 2 — Moderna
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2021-08-23
Registered in v-safe
- 2021-09-09
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2021-10-26
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Insomnia — Feeling: FairFree text: Just tired. I was up much at of the night.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Crepitations, Neck pain, Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have had Sjogren's 38 years now and am in a flare up past month or so; back of left neck has become very painful over past 3 months~'clicks' very painful when I move itMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-03
- 2021-11-03
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2021-11-11
Survey response — day 14, dose 3MedDRA: Brain fog, Chest discomfort, Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My autoimmune disease is still flaring. Today I had a lot of brain fog and have had a creepy feeling in my chest. · Healthcare visit (other): Covid booster shot of Moderna vaccine the end of October.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalno matching call case
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2021-11-16
Survey response — day 21, dose 3MedDRA: Condition aggravated, Headache, Neck pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The left side of my head keeps hurting along with my neck. Still in the midst of an immune disease flare-up.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — day 28, dose 3MedDRA: Increased viscosity of upper respiratory secretion, Nasal discharge discolouration, Pre-existing disease — Feeling: FairFree text: Thicker, discolored nasal discharge when I blow my nose. But NOT every time time. This is consistent with what happens every Fall between my allergies and the heat going on again (dry nose). I have Sjogren's.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — day 42, dose 3MedDRA: Complication associated with device, Medical device implantation, Rehabilitation therapy, Rib fracture, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I broke 2 ribs on Thanksgiving, which became 3 broken ribs and 2 breaks on 2 of the ribs. I hade surgery4 days ago to have plates put in to stabilize my ribs. My chest tube came out 2 days ago and I was transferred to rehab yesterday afternoon.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-10
- 2022-01-26
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2022-03-08
Dose 4 — Moderna
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2022-04-19
Survey response — day 42, dose 4MedDRA: Chest discomfort, Dizziness, Dyspnoea, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased fatigue, episodes of shortness of breath, lightheadedness and funny feelings in upper left chest area. · Healthcare visit (other): I was due for cardiology check up with my cardiologist.MedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-21
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2022-06-07
Survey response — 3 months, dose 4MedDRA: Abdominal distension, Abdominal pain, Arthritis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: My arthritis is acting up a lot in my neck, arms and lower back. Also, have developed intermittent abdominal swelling and pain on left side of abdomen. Will be seeing GI doctor to find out what is causing this. Need to see orthopedist, too.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-07
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2022-09-18
Dose 5 — Pfizer-BioNTech
- 2022-09-27
- 2022-10-02
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2022-10-10
Survey response — day 21, dose 5MedDRA: Dry eye, Eye pruritus, Rhinorrhoea — Feeling: PoorFree text: Running nose; dry itchy eyes- think it is my fall allergiesMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — day 28, dose 5MedDRA: Disturbance in attention, Fatigue, Feeling abnormal, Feeling hot, Pollakiuria, Polydipsia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very tired. Not feeling like self. Started 4 days ago. Then, feeling hot a lot but no temp. Unable to concentrate. Having bladder frequency. Think bladder infection but took COVID test Friday to be safe. Was NEG. Drinking lots. A little better.MedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — day 35, dose 5MedDRA: Autoimmune disorder, Brain fog, Decreased activity, Fatigue, Feeling hot, Hypersomnia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very tired. Sleeping a LOT the past 3 days. My 'brain fog' from my autoimmune diseases is much worse. Not very productive. Feel 'hot' off and on, too. Had to push myself though to get a few things down me that needed doing.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
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2022-12-20
Survey response — 3 months, dose 5MedDRA: Dry throat, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dry, sore throat and very tired.MedDRA releases: 2024-11 · check-in free text available
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2023-03-21
Survey response — 6 months, dose 5MedDRA: Arthralgia, Fatigue, Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | No |
| 2 | 2021-03-11 | Moderna | No |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-08 | Moderna | No |
| 5 | 2022-09-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-29 | Unsuccessful | |
| 2021-12-07 | Unsuccessful | |
| 2022-04-19 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just tired. I was up much at of the night.
Systemic reaction (other): Have had Sjogren's 38 years now and am in a flare up past month or so; back of left neck has become very painful over past 3 months~'clicks' very painful when I move it
Release 10 — day 14, dose 3
Symptoms: My autoimmune disease is still flaring. Today I had a lot of brain fog and have had a creepy feeling in my chest.
Healthcare visit (other): Covid booster shot of Moderna vaccine the end of October.
Release 10 — day 21, dose 3
Symptoms: The left side of my head keeps hurting along with my neck. Still in the midst of an immune disease flare-up.
Release 10 — day 28, dose 3
Symptoms: Thicker, discolored nasal discharge when I blow my nose. But NOT every time time. This is consistent with what happens every Fall between my allergies and the heat going on again (dry nose). I have Sjogren's.
Release 10 — day 42, dose 3
Symptoms: I broke 2 ribs on Thanksgiving, which became 3 broken ribs and 2 breaks on 2 of the ribs. I hade surgery4 days ago to have plates put in to stabilize my ribs. My chest tube came out 2 days ago and I was transferred to rehab yesterday afternoon.
Release 11 — day 42, dose 4
Symptoms: Increased fatigue, episodes of shortness of breath, lightheadedness and funny feelings in upper left chest area.
Healthcare visit (other): I was due for cardiology check up with my cardiologist.
Release 11 — 3 months, dose 4
Symptoms: My arthritis is acting up a lot in my neck, arms and lower back. Also, have developed intermittent abdominal swelling and pain on left side of abdomen. Will be seeing GI doctor to find out what is causing this. Need to see orthopedist, too.
Release 12 — day 21, dose 5
Symptoms: Running nose; dry itchy eyes- think it is my fall allergies
Release 12 — day 28, dose 5
Symptoms: Very tired. Not feeling like self. Started 4 days ago. Then, feeling hot a lot but no temp. Unable to concentrate. Having bladder frequency. Think bladder infection but took COVID test Friday to be safe. Was NEG. Drinking lots. A little better. cut off by CDC
Release 12 — day 35, dose 5
Symptoms: Very tired. Sleeping a LOT the past 3 days. My 'brain fog' from my autoimmune diseases is much worse. Not very productive. Feel 'hot' off and on, too. Had to push myself though to get a few things down me that needed doing.
Release 12 — 3 months, dose 5
Symptoms: Dry, sore throat and very tired.
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Autoimmune disorder | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Complication associated with device | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Decreased activity | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Medical device implantation | · | · | ✓ |
| SD | Nasal discharge discolouration | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Polydipsia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rehabilitation therapy | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Crepitations | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release