Y4L-28463-29432
6 vaccinations
5 coded responses
54 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 985 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: All reactions very mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Plantar fasciitis Ive had since before getting vaccine has been very sore for much of the last 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got a knee injury digging. Pain started day 10 after vaccination, day 4 after digging. Is it worse due to a late vaccine side effect?Have had some fatigue this week but vaccine effect or tired from pain of knee injury is difficult to determine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Dizziness, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness and nausea probably side effect from a medication for an unrelated condition.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-08-28
-
2021-11-05
Dose 3 — Moderna
- 2022-02-27
-
2022-04-08
Dose 4 — Moderna
- 2022-04-25
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-09-24
Dose 5 — Pfizer-BioNTech
- 2022-10-07
- 2022-10-07
- 2022-10-08
-
2022-10-15
Survey response — day 21, dose 5MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Contracted a UTI about a week after vaccination was administered. · Healthcare visit (other): Office visit with pcp team memberMedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-18
-
2022-10-19
Call successfulCompleted over the phone
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
-
2023-05-16
Dose 6 — Moderna
- 2023-05-16
-
2023-05-17
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-05-18
- 2023-05-19
- 2023-05-20
- 2023-05-21
- 2023-05-22
- 2023-05-23
- 2023-05-30
- 2023-06-06
- 2023-06-13
- 2023-06-20
- 2023-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-24 | Pfizer-BioNTech | No |
| 6 | 2023-05-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-15 | Successful 2022-10-19 |
Completed over the phone |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): All reactions very mild
Systemic reaction (other): Plantar fasciitis Ive had since before getting vaccine has been very sore for much of the last 24 hours.
Release 5 — day 14, dose 2
Symptoms: Got a knee injury digging. Pain started day 10 after vaccination, day 4 after digging. Is it worse due to a late vaccine side effect?Have had some fatigue this week but vaccine effect or tired from pain of knee injury is difficult to determine.
Release 7 — day 42, dose 2
Symptoms: Dizziness and nausea probably side effect from a medication for an unrelated condition.
Release 12 — day 21, dose 5
Symptoms: Contracted a UTI about a week after vaccination was administered.
Healthcare visit (other): Office visit with pcp team member
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release