Y4N-26312-82737
5 vaccinations
11 coded responses
67 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: Have had a slight headache all weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Site: Pain · ChillsFree text: I did not have chills today, but After I reported yesterday, I ended up with a fever of 100.4 for about 2 hours. Then it broke and hasnt come back. I also had chills before the fever came on for about an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 35, dose 2MedDRA: Pruritus genital — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I dont know if feminine itching would be considered a symptom of the vaccine, but that has been an ongoing issue since the shots- May not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
- 2021-06-02
-
2021-06-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-08-30
-
2021-12-06
Dose 3 — Moderna
-
2021-12-06
Survey response — day 0, dose 3MedDRA: Tenderness — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Tenderness in my armpitsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
-
2021-12-13
Survey response — day 7, dose 3MedDRA: Dysphagia, Lymphadenopathy — Feeling: GoodFree text: Swollen gland right side. Can feel when I swallowMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-06-06
-
2022-06-29
Dose 4 — Moderna
- 2022-06-29
-
2022-06-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2022-07-01
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19, Oedema peripheral, Tenderness — Feeling: Good · Site: PainFree text: Swelling and tenderness in left arm pit. Also, I had COVID On June 14 and didn't have a space to report it.MedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-03
- 2022-07-04
- 2022-07-05
-
2022-07-06
Survey response — day 7, dose 4MedDRA: Oedema peripheral — Feeling: Good · Fatigue or tirednessFree text: My left arm pit is still swollenMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
- 2022-07-20
- 2022-07-27
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2022-08-03
Survey response — day 35, dose 4MedDRA: Abnormal menstrual clots, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Increased blood clotting in menstrual cycle - May or May not be related · Healthcare visit (other): UltrasoundMedDRA releases: 2024-11 · check-in free text available
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2022-08-03
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-04
- 2022-08-10
- 2022-09-30
-
2022-11-28
Dose 5 — ModernaCo-administered: Flu
- 2022-11-30
-
2022-12-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-12-02
-
2022-12-03
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy — Feeling: Fair · Fever · HeadacheFree text: Swollen glands under chinMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2022-12-05
- 2022-12-12
-
2022-12-19
Survey response — day 21, dose 5MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat and headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Survey response — day 28, dose 5MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got a coldMedDRA releases: 2024-11 · check-in free text available
- 2023-01-02
- 2023-01-09
- 2023-02-27
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-06-29 | Moderna | No |
| 5 | 2022-11-28 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Successful 2021-06-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-08-03 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: Have had a slight headache all week
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I did not have chills today, but After I reported yesterday, I ended up with a fever of 100.4 for about 2 hours. Then it broke and hasnt come back. I also had chills before the fever came on for about an hour
Release 6 — day 35, dose 2
Symptoms: I dont know if feminine itching would be considered a symptom of the vaccine, but that has been an ongoing issue since the shots- May not be related
Release 10 — day 0, dose 3
Systemic reaction (other): Tenderness in my armpits
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen gland right side. Can feel when I swallow
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling and tenderness in left arm pit. Also, I had COVID On June 14 and didn't have a space to report it.
Release 12 — day 7, dose 4
Systemic reaction (other): My left arm pit is still swollen
Release 12 — day 35, dose 4
Symptoms: Increased blood clotting in menstrual cycle - May or May not be related
Healthcare visit (other): Ultrasound
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Swollen glands under chin
Release 12 — day 21, dose 5
Symptoms: Sore throat and headache
Release 12 — day 28, dose 5
Symptoms: I got a cold
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 | Unevaluable event | · | · | ✓ |
| SD | Abnormal menstrual clots | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pruritus genital | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Dysphagia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release