Y5U-60449-51392
2 vaccinations
11 coded responses
20 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Dose 1 — Moderna
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2021-02-08
Registered in v-safe
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Hyposmia — Feeling: Fair · Fatigue or tirednessFree text: Diminished sense of smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Anosmia, Telemedicine — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sense of smell still almost gone. · Healthcare visit (other): Brief phone call concerning the loss of smell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Anosmia — Feeling: Good · Muscle or body achesFree text: Sense of smell is coming back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Anosmia, Pain — Feeling: Fair · Muscle or body achesFree text: Body aches probably from an ongoing condition. Sense of smell still poor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 7, dose 1MedDRA: Hyposmia — Feeling: GoodFree text: Sense of smell still poor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessFree text: Its only been 2hours since I got the vaccine. Symptoms may develop.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Joint pains may be partly arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-11
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 2MedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: Minor aching at vaccine site.Slight increase in fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 28, dose 2MedDRA: Fatigue, Hyposmia, Myalgia, Pre-existing disease — Feeling: GoodFree text: Very mild: fatigue, muscle aches. Diminished sense of smell. These are symptoms I have occasionally.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 35, dose 2MedDRA: Fatigue, Parosmia — Feeling: GoodFree text: Tiredness and problems with sense of smell. At a previously scheduled semiannual checkup, my doctor and I agreed that causes were not related to vaccine or Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-03
- 2021-07-17
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Pre-existing disease, Tooth extraction — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: They are all connected to conditions Ive had for years. Osteoarthritis, carpal tunnel syndrome, glaucoma, dental issues. Overall, I feel good, with ups and downs. · Healthcare visit (other): Tooth extractionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-09 | Unsuccessful | |
| 2021-09-02 | Successful 2021-09-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Diminished sense of smell
Systemic reaction (other): Sense of smell still almost gone.
Healthcare visit (other): Brief phone call concerning the loss of smell.
Systemic reaction (other): Sense of smell is coming back.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Body aches probably from an ongoing condition. Sense of smell still poor.
Release 4 — day 7, dose 1
Systemic reaction (other): Sense of smell still poor.
Release 5 — day 0, dose 2
Systemic reaction (other): Its only been 2hours since I got the vaccine. Symptoms may develop.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Joint pains may be partly arthritis.
Release 6 — day 21, dose 2
Symptoms: Minor aching at vaccine site.Slight increase in fatigue.
Release 6 — day 28, dose 2
Symptoms: Very mild: fatigue, muscle aches. Diminished sense of smell. These are symptoms I have occasionally.
Release 7 — day 35, dose 2
Symptoms: Tiredness and problems with sense of smell. At a previously scheduled semiannual checkup, my doctor and I agreed that causes were not related to vaccine or Covid.
Release 9 — 6 months, dose 2
Symptoms: They are all connected to conditions Ive had for years. Osteoarthritis, carpal tunnel syndrome, glaucoma, dental issues. Overall, I feel good, with ups and downs.
Healthcare visit (other): Tooth extraction
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 | Telemedicine | ✓ | ✓ | ✓ |
| HCVO | Tooth extraction | ✓ | · | ✓ |
| SD | Adverse reaction | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyposmia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Hyposmia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release