Y3U-96001-62702
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 986 / WA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Slight heaviness in rear lungsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — day 7, dose 1MedDRA: Chills — Feeling: Good · ChillsFree text: The chills that I experienced were short termMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-08
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-22
-
2021-03-01
Survey response — day 28, dose 2MedDRA: Pain — Feeling: GoodFree text: I have experiences continued unusual achy body feelings since the vaccine that have not gone away but have intensified.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — day 35, dose 2MedDRA: Lymphadenitis, Medical counselling, Menstruation irregular, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had a cervical ablation and have not had a monthly womans cycle for 8 years. I had one beginning yesterday. I know that this could be coincidental but I thought that I should report it because I coincidentally had my first one in 8 years. · Healthcare visit (other): I have been in contact with my womans health physician and am awaiting a call back to see if there is a need for a visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-05-03
- 2021-08-02
- 2021-12-05
-
2021-12-27
Dose 3 — Moderna
- 2022-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-08 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slight heaviness in rear lungs
Release 1 — day 7, dose 1
Systemic reaction (other): The chills that I experienced were short term
Release 4 — day 28, dose 2
Symptoms: I have experiences continued unusual achy body feelings since the vaccine that have not gone away but have intensified.
Release 5 — day 35, dose 2
Symptoms: I have had a cervical ablation and have not had a monthly womans cycle for 8 years. I had one beginning yesterday. I know that this could be coincidental but I thought that I should report it because I coincidentally had my first one in 8 years.
Healthcare visit (other): I have been in contact with my womans health physician and am awaiting a call back to see if there is a need for a visit.
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 | ✓ | · | ✓ |
| HCVO | Office visit | ○ | ✓ | ○ |
| SD | Lymphadenitis | ○ | ✓ | ○ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release