Y4T-22950-58868
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 153 / PA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-15
Survey response — day 7, dose 1MedDRA: Chills, Diarrhoea, Feeling abnormal, Gastrointestinal inflammation, Immunisation reaction, Pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Two days after the vaccine I ended up in the hospital with inflammation of the intestines. I felt fear after the shot and then 13 hours later I felt like I was hit by a Mack truck. I chills, arm and body aching, and felt poorly. I had had some diarrhea But that is not unusual for me. Ended up in the emergency room late Wednesday night and had an ng tube placed in me. No bowel blockage and they could still hear bowel sounds but I looked like I was 9 months pregnant. Diagnose was inflamed intestines and The only thing different was. The Moderna vaccine and I had a rough reaction to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-07-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Two days after the vaccine I ended up in the hospital with inflammation of the intestines. I felt fear after the shot and then 13 hours later I felt like I was hit by a Mack truck. I chills, arm and body aching, and felt poorly. I had had some diarrhea But that is not unusual for me. Ended up in the emergency room late Wednesday night and had an ng tube placed in me. No bowel blockage and they could still hear bowel sounds but I looked like I was 9 months pregnant. Diagnose was inflamed intestines and The only thing different was. The Moderna vaccine and I had a rough reaction to the vaccine
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal inflammation | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release