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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

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Pre-existing disease — Feeling: Good
    Free text: Chest tightness due to astma
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-02-18
    Survey response — day 35, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rheumatoid disease flare left eye.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-18
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-20
    Dose 2 — Moderna
  16. 2021-02-27
    Survey response — day 7, dose 2
    MedDRA: Eye inflammation — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free 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
  17. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Glossodynia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  18. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-20
    Survey response — day 28, dose 2
    MedDRA: Chills, Fatigue, Glossodynia, Oral pain, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  20. 2021-03-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-06
  24. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-02-20
    Survey response — 12 months, dose 2
    MedDRA: Body temperature increased, COVID-19, Fatigue, Headache, Pain, Rhinorrhoea, Sinus pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Covid - body aces, slightly elevated temp, headache, and fatigue plus some ainus pain and runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-20Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-18 Unsuccessful

Free text

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Chest tightness due to astma

Release 4 — day 35, dose 1

2021-02-18

Symptoms: Rheumatoid disease flare left eye.

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): Have had significant eye inflammation that began on Feb 15. I have RA & Sjogrens.

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Issues with pain in wrists and hands; fatigue; sensitivity of my tongue. I have rheumatoid arthritis.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Issues with tongue and mouth pain due to RA. Chills and fatigue today.

Release 11 — 12 months, dose 2

2022-02-20

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBody temperature increased · · ✓
SDChest discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDGlossodynia ✓ ✓ ✓
SDHeadache · · ✓
SDOral pain ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRheumatoid arthritis ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSinus pain · · ✓
SROEye inflammation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release