Y8Y-13031-67159
5 vaccinations
5 coded responses
52 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 156 / PA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Blood cholesterol increased, Gout, Office visit, Type 2 diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Was diagnosed with gout, high cholesterol, and type 2 diabetes. · Healthcare visit (other): PCP visit and will be meeting with a diabetes coach.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-10-28
Dose 3 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My other arm was sore as well as the arm I got the shot in. I received a pneumonia and flu shot on October 5th one in each arm. Both arms were sore after the shots, but my left arm was very sore afterwards as well as this time, but with no shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: I first started reporting a couple days after my booster shot. So I never reported swollen and painful lymph nodes under my right armpit that lasted for 1-3 days.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-19
Dose 4 — Moderna
- 2022-06-26
-
2022-07-01
Survey response — day 42, dose 4MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe cough, congestion, sore throat, headache lasting 7+ days. Ongoing still.MedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, sore throat, fatigue, headache that lasted over 2 weeks. COVID tests I took were negative.MedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-19
- 2022-08-19
-
2022-09-27
Dose 5 — Moderna
-
2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
-
2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Diarrhea, Abdominal painAdult check-in
-
2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Itching · Diarrhea, Abdominal painAdult check-in
- 2022-10-02
-
2022-10-03
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Diarrhea, Abdominal painAdult check-in
-
2022-10-04
Health check-in — day 7, dose 5Feeling: Good · Fever · Fatigue or tiredness, Abdominal painAdult check-in
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-12-27
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-19 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful | |
| 2022-08-18 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Was diagnosed with gout, high cholesterol, and type 2 diabetes.
Healthcare visit (other): PCP visit and will be meeting with a diabetes coach.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My other arm was sore as well as the arm I got the shot in. I received a pneumonia and flu shot on October 5th one in each arm. Both arms were sore after the shots, but my left arm was very sore afterwards as well as this time, but with no shot.
Systemic reaction (other): I first started reporting a couple days after my booster shot. So I never reported swollen and painful lymph nodes under my right armpit that lasted for 1-3 days.
Release 12 — day 42, dose 4
Symptoms: Severe cough, congestion, sore throat, headache lasting 7+ days. Ongoing still.
Release 12 — 3 months, dose 4
Symptoms: Cough, sore throat, fatigue, headache that lasted over 2 weeks. COVID tests I took were negative.
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 | Office visit | ✓ | · | ✓ |
| SD | Blood cholesterol increased | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gout | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Type 2 diabetes mellitus | ✓ | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release