Y6Z-22586-83502
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sensitivity in armpit -- possibly lymph nodes?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Muscle pain is in the upper arm around injection site to elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia, Fatigue, Headache, Insomnia, Myalgia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yesterday afternoon after reporting, I was suddenly hit with a ton of symptoms - indigestion, muscle aches, headache, fatigue, swollen sinuses. Almost no sleep possible. Most symptoms now gone except fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Blood sodium decreased, Dyspnoea, Fatigue, Office visit, Urine sodium decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Low sodium levels in blood and urine; shortness of breath; fatigue. · Healthcare visit (other): My primary care providerMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-18
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-11 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sensitivity in armpit -- possibly lymph nodes?
Systemic reaction (other): Muscle pain is in the upper arm around injection site to elbow
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday afternoon after reporting, I was suddenly hit with a ton of symptoms - indigestion, muscle aches, headache, fatigue, swollen sinuses. Almost no sleep possible. Most symptoms now gone except fatigue.
Release 10 — 6 months, dose 2
Symptoms: Low sodium levels in blood and urine; shortness of breath; fatigue.
Healthcare visit (other): My primary care provider
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 | Office visit | · | · | ✓ |
| SD | Blood sodium decreased | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Urine sodium decreased | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release