Y8J-85639-10778
3 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 440 / OH
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Good · Site: Redness, ItchingFree text: CongestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Survey response — day 21, dose 1MedDRA: Chills, Headache, Respiratory tract congestion — Feeling: GoodFree text: Oh 2 separate occasions I have had chills and headache and some congestion but would only last that day and then gone the next.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Vaccine positive rechallenge — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Day of vaccine I had full body pain .. not aches. Same on the first vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-05-21
- 2021-08-20
-
2021-12-18
Dose 3 — Moderna
-
2022-02-19
Survey response — 12 months, dose 2MedDRA: Dry throat, Dyspnoea, Dyspnoea exertional, Lymphadenopathy, Respiratory tract congestion, Throat irritation — 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: Congestion, dry throat, swollen glands. Continued Now 6 weeks in. Shortness of breath came a week after testing negative for 2-3 weeks. Still on exertion. Swollen glands now in collar bone & neck. Still congested/ dry Irritated throat. Never a fever.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-19
Report sent to call center — 12 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)
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-19 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Congested
Release 4 — day 21, dose 1
Symptoms: Oh 2 separate occasions I have had chills and headache and some congestion but would only last that day and then gone the next.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Day of vaccine I had full body pain .. not aches. Same on the first vaccine.
Release 11 — 12 months, dose 2
Symptoms: Congestion, dry throat, swollen glands. Continued Now 6 weeks in. Shortness of breath came a week after testing negative for 2-3 weeks. Still on exertion. Swollen glands now in collar bone & neck. Still congested/ dry Irritated throat. Never a fever. cut off by CDC
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release