Y7H-10846-25564
4 vaccinations
16 coded responses
49 check-ins
15 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Right side neck & shoulder pain & stiffness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-03-09
- 2021-03-10
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2021-03-11
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: GoodFree text: Chronic low back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 14, dose 1MedDRA: Back pain, Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue and increase of chronic back aches. · Healthcare visit (other): Drs office appointment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Somnolence — Feeling: Fair · Fatigue or tirednessFree text: Sleepiness even after sleeping 8 hours; extremely tired after being up for 8hrs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness, Pain, Swelling — Feeling: GoodFree text: Stiffening of fingers of my left hand, with swelling at the base of each finger. Third finger is most affected & is painful to attempt bending it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
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2021-05-06
Survey response — day 35, dose 2MedDRA: Mammogram abnormal, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mammogram results show I need further compression films & ultrasound. · Healthcare visit (other): Appt for ultrasound & compression mammogram films set up, at recommendation of radiologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-07-01
- 2021-10-01
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2021-11-01
Dose 3 — Moderna
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2021-11-01
Survey response — day 0, dose 3MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe rash was present under both breasts prior to getting the Moderna injection today. · Healthcare visit (other): Appt set up with an MD dermatologist for 11-4-2021MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — day 0, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-03
- 2021-11-03
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-11-08
Survey response — day 7, dose 3MedDRA: Anxiety — Feeling: FairFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — day 14, dose 3MedDRA: Abdominal discomfort, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: G. I. upset. Nausea & loose stools.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-11-29
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2021-12-06
Survey response — day 35, dose 3MedDRA: Anxiety — Feeling: FairFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2022-02-01
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Arthritis, Bursitis, Muscle injury, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bursitis Left hip, inflammation of left hip and torn hamstring in left leg. · Healthcare visit (other): In office visits with primary MD & orthopedic surgeon twice, so far.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-04
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2022-09-23
Dose 4 — Moderna
- 2022-09-23
- 2022-09-25
- 2022-09-26
- 2022-09-27
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2022-09-28
Survey response — days 1–6 daily, dose 4MedDRA: Anxiety — Feeling: FairFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
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2022-09-30
Survey response — day 7, dose 4MedDRA: Joint swelling, Peripheral swelling — Feeling: GoodFree text: Repeatedly swelling in ankles/feet.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-14
- 2022-10-21
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2022-10-28
Survey response — day 35, dose 4MedDRA: Anxiety — Feeling: FairFree text: Generalized anxiety.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
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2022-12-23
Survey response — 3 months, dose 4MedDRA: Arthralgia, Back pain — Feeling: GoodFree text: Increased back & hip joint pain.MedDRA releases: 2024-11 · check-in free text available
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2023-03-24
Survey response — 6 months, dose 4MedDRA: Hypertension, Joint stiffness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-24
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-28
- 2023-03-28
- 2023-03-28
- 2023-03-28
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2021-05-06 | Unsuccessful | |
| 2021-11-01 | Unsuccessful | |
| 2022-05-02 | Unsuccessful | |
| 2023-03-24 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Right side neck & shoulder pain & stiffness.
Release 5 — day 7, dose 1
Systemic reaction (other): Chronic low back pain.
Release 5 — day 14, dose 1
Symptoms: Fatigue and increase of chronic back aches.
Healthcare visit (other): Drs office appointment.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sleepiness even after sleeping 8 hours; extremely tired after being up for 8hrs.
Release 7 — day 14, dose 2
Symptoms: Stiffening of fingers of my left hand, with swelling at the base of each finger. Third finger is most affected & is painful to attempt bending it.
Release 8 — day 35, dose 2
Symptoms: Mammogram results show I need further compression films & ultrasound.
Healthcare visit (other): Appt for ultrasound & compression mammogram films set up, at recommendation of radiologist.
Release 10 — day 0, dose 3
Systemic reaction (other): Severe rash was present under both breasts prior to getting the Moderna injection today.
Healthcare visit (other): Appt set up with an MD dermatologist for 11-4-2021
Release 10 — day 7, dose 3
Systemic reaction (other): Anxiety
Release 10 — day 14, dose 3
Symptoms: G. I. upset. Nausea & loose stools.
Release 10 — day 35, dose 3
Symptoms: Anxiety
Release 11 — 6 months, dose 3
Symptoms: Bursitis Left hip, inflammation of left hip and torn hamstring in left leg.
Healthcare visit (other): In office visits with primary MD & orthopedic surgeon twice, so far.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Anxiety
Release 12 — day 7, dose 4
Systemic reaction (other): Repeatedly swelling in ankles/feet.
Release 12 — day 35, dose 4
Symptoms: Generalized anxiety.
Release 12 — 3 months, dose 4
Symptoms: Increased back & hip joint pain.
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 | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Mammogram abnormal | ✓ | ✓ | ✓ |
| SD | Muscle injury | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release