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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

  1. 2021-04-23
    Registered in v-safe
  2. 2021-04-23
    Dose 1 — Moderna
  3. 2021-04-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-04-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free 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
  8. 2021-04-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Menstruation irregular, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Feminine cycle started yesterday and still rocking Crohn's Disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-30
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free 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
  10. 2021-05-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-14
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-05-21
    Dose 2 — Moderna
  13. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  14. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal sensation in eye — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free 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
  15. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  17. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-19
    Survey response — day 28, dose 2
    MedDRA: 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 visit
    Free 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
  24. 2021-06-19
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-25
  27. 2021-07-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-19 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

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.

2021-04-29

Systemic reaction (other): Feminine cycle started yesterday and still rocking Crohn's Disease.

Release 8 — day 7, dose 1

2021-04-30

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

2021-05-22

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

2021-06-19

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

FieldPreferred term2021-092023-042024-11
SDChest pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAbnormal sensation in eye ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMenstruation irregular ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

✓ active code · ○ coded but marked inactive · blank = not in that release