Y7W-24189-01847
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Chest discomfort, Pre-existing disease — Feeling: GoodFree text: Chest tightness due to astmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Survey response — day 35, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rheumatoid disease flare left eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-20
Dose 2 — Moderna
-
2021-02-27
Survey response — day 7, dose 2MedDRA: Eye inflammation — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: Have had significant eye inflammation that began on Feb 15. I have RA & Sjogrens.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Arthralgia, Glossodynia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Issues with pain in wrists and hands; fatigue; sensitivity of my tongue. I have rheumatoid arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-20
Survey response — day 28, dose 2MedDRA: Chills, Fatigue, Glossodynia, Oral pain, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Issues with tongue and mouth pain due to RA. Chills and fatigue today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-03
- 2021-05-22
- 2021-08-06
- 2021-08-21
-
2022-02-20
Survey response — 12 months, dose 2MedDRA: Body temperature increased, COVID-19, Fatigue, Headache, Pain, Rhinorrhoea, Sinus pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid - body aces, slightly elevated temp, headache, and fatigue plus some ainus pain and runny noseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: Chest tightness due to astma
Release 4 — day 35, dose 1
Symptoms: Rheumatoid disease flare left eye.
Release 4 — day 7, dose 2
Systemic reaction (other): Have had significant eye inflammation that began on Feb 15. I have RA & Sjogrens.
Release 5 — day 14, dose 2
Symptoms: Issues with pain in wrists and hands; fatigue; sensitivity of my tongue. I have rheumatoid arthritis.
Release 6 — day 28, dose 2
Symptoms: Issues with tongue and mouth pain due to RA. Chills and fatigue today.
Release 11 — 12 months, dose 2
Symptoms: Covid - body aces, slightly elevated temp, headache, and fatigue plus some ainus pain and runny nose
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Glossodynia | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Eye inflammation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release