Y6R-14765-44517
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 530 / WI
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-12
Dose 1 — Moderna
-
2021-05-13
Registered in v-safe
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
-
2021-05-26
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Increased soreness at the injection site that came on 6 days after the initial vaccination. Soreness lasted a few hours and then went away on its own.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
-
2021-06-09
Dose 2 — Moderna
- 2021-06-09
-
2021-06-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body achesAdult check-in
- 2021-06-11
-
2021-06-12
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Lactation insufficiency, Medical counselling — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Decreased appetite, blocked milk duct · Healthcare visit (other): Phone call with the nurseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-22
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-07-21
-
2021-09-08
Survey response — 3 months, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea/ loose stoolsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-12 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: Increased soreness at the injection site that came on 6 days after the initial vaccination. Soreness lasted a few hours and then went away on its own.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Decreased appetite, blocked milk duct
Healthcare visit (other): Phone call with the nurse
Release 9 — 3 months, dose 2
Symptoms: Diarrhea/ loose stools
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Lactation insufficiency | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release