Y4V-75135-46681
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 786 / TX
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I have Crohn's Disease and I'm about to start my monthly female cycle, which could explain the constant tired feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Menstruation irregular, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Feminine cycle started yesterday and still rocking Crohn's Disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — day 7, dose 1MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Day 3 of female monthly cycle, storms in the area, and still rocking Crohn's Disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
-
2021-05-21
Dose 2 — Moderna
-
2021-05-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal sensation in eye — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: My eyes felt warm all day. My head had no fever, but warmth coming from eye sockets.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
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2021-06-19
Survey response — day 28, dose 2MedDRA: Chest pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pains, but due to complications from my Crohn's Disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
- 2021-06-25
- 2021-07-02
- 2021-08-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-19 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I have Crohn's Disease and I'm about to start my monthly female cycle, which could explain the constant tired feeling.
Systemic reaction (other): Feminine cycle started yesterday and still rocking Crohn's Disease.
Release 8 — day 7, dose 1
Systemic reaction (other): Day 3 of female monthly cycle, storms in the area, and still rocking Crohn's Disease.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My eyes felt warm all day. My head had no fever, but warmth coming from eye sockets.
Release 9 — day 28, dose 2
Symptoms: Chest pains, but due to complications from my Crohn's Disease.
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 |
|---|---|---|---|---|
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Abnormal sensation in eye | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release