Y5M-17180-95619
2 vaccinations
9 coded responses
15 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 674 / KS
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Survey response — day 7, dose 1MedDRA: Neuralgia, Pain in extremity — Feeling: Good · Chills, Joint painsFree text: sharp pain my toes at night like nerve painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
-
2021-01-20
Survey response — day 21, dose 1MedDRA: Mood swings, Pain in extremity — Feeling: FairFree text: I still have a stabbing pain in my right foot at night. Okay during the day tho. A little moody at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — day 28, dose 1MedDRA: Chills, Muscle spasms — Feeling: GoodFree text: Getting chills at night even when the house is comfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Ophthalmic migraine — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Experienced an ocular migraine today. The first i have experienced. Symptoms lasted 10 minutes or so during my lunch break.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-11
Survey response — day 14, dose 2MedDRA: Dizziness — Feeling: FairFree text: Extreme dizzy almost blacked out lasted abt. 5 mins on the 9th feb. Still have symptoms but not as severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 21, dose 2MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-04
Survey response — day 35, dose 2MedDRA: Asthenia, Vertigo — Feeling: FairFree text: Continued lack of energy and vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-04-30
- 2021-07-31
- 2021-08-11
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: Anxiety, Cardiac flutter, Dyspnoea — Feeling: FairFree text: Breathless at times. Heart has some fluttering. Occasional anxiety.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful | |
| 2021-02-25 | Unsuccessful |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): sharp pain my toes at night like nerve pain
Release 2 — day 21, dose 1
Symptoms: I still have a stabbing pain in my right foot at night. Okay during the day tho. A little moody at times
Release 2 — day 28, dose 1
Symptoms: Getting chills at night even when the house is comfortable
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Experienced an ocular migraine today. The first i have experienced. Symptoms lasted 10 minutes or so during my lunch break.
Release 4 — day 14, dose 2
Symptoms: Extreme dizzy almost blacked out lasted abt. 5 mins on the 9th feb. Still have symptoms but not as severe.
Release 4 — day 21, dose 2
Symptoms: Severe vertigo
Release 4 — day 28, dose 2
Symptoms: Vertigo
Release 5 — day 35, dose 2
Symptoms: Continued lack of energy and vertigo
Release 11 — 12 months, dose 2
Symptoms: Breathless at times. Heart has some fluttering. Occasional anxiety.
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 | Anxiety | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Mood swings | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ○ | ✓ | ○ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release