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Y8P-24757-12046

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
600 / IL
Registered
2021-04-30
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-30
    Registered in v-safe
  2. 2021-04-30
    Dose 1 — Moderna
  3. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  4. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Fever · Abdominal pain
    Adult check-in
  5. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma — Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Mildly asthmatic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-05-07
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-05-14
    Survey response — day 14, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: Lasting stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-21
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-28
    Dose 2 — Moderna
  13. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  14. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Diarrhea, Abdominal pain
    Adult check-in
  15. 2021-06-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Heart rate increased, Swelling — Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Free text: Swelling, fast heartbeat, occasional lightheadedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  17. 2021-06-04
    Survey response — day 7, dose 2
    MedDRA: Chest discomfort — Feeling: Good · Site: Itching · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site
    Free text: Chest congestion in the past few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-11
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Dizziness, Headache, Nausea — Feeling: Good
    Free text: Heartbeat, dizziness, headache, nausea, stomachache, all occasionally
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-18
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Migraine — Feeling: Good
    Free text: Persistent migraine, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-25
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper, Migraine — Feeling: Fair
    Free text: Migraine, stomachache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-07-04
    Survey response — day 35, dose 2
    MedDRA: Migraine — Feeling: Good
    Free text: Persistent migraine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-09
    Survey response — day 42, dose 2
    MedDRA: Emotional distress, Headache — Feeling: Good
    Free text: Emotional ups and downs, persistent headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-08-27
    Survey response — 3 months, dose 2
    MedDRA: Dizziness, Headache — Feeling: Good
    Free text: Persistent headache, feeling dizzy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-11-26
    Survey response — 6 months, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in the neck
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-28
    Survey response — 12 months, dose 2
    MedDRA: Rash, Tongue eruption — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: A large, sore lesion on the tongue, which has been treated by steroid and antibiotic for the time being. Waiting for a biopsy result.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-28
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-05-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-30Moderna
22021-05-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-05-28 Successful
2022-05-31
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): Mildly asthmatic

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Lasting stiff neck

Release 8 — day 21, dose 1

2021-05-21

Symptoms: headache

Release 8 — days 1–6 daily, dose 2

2021-06-01

Systemic reaction (other): Swelling, fast heartbeat, occasional lightheadedness

Release 8 — day 7, dose 2

2021-06-04

Systemic reaction (other): Chest congestion in the past few days

Release 9 — day 14, dose 2

2021-06-11

Symptoms: Heartbeat, dizziness, headache, nausea, stomachache, all occasionally

Release 9 — day 21, dose 2

2021-06-18

Symptoms: Persistent migraine, dizziness

Release 9 — day 28, dose 2

2021-06-25

Symptoms: Migraine, stomachache

Release 9 — day 35, dose 2

2021-07-04

Symptoms: Persistent migraine

Release 9 — day 42, dose 2

2021-07-09

Symptoms: Emotional ups and downs, persistent headache

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: Persistent headache, feeling dizzy

Release 10 — 6 months, dose 2

2021-11-26

Symptoms: Swollen lymph nodes in the neck

Release 11 — 12 months, dose 2

2022-05-28

Symptoms: A large, sore lesion on the tongue, which has been treated by steroid and antibiotic for the time being. Waiting for a biopsy result.

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
SDAbdominal pain upper ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEmotional distress ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLymphadenopathy · · ✓
SDMigraine ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDRash · · ✓
SDTongue eruption · · ✓
SROAsthma ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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

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