Y9B-25712-23954
4 vaccinations
8 coded responses
39 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 926 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
-
2021-03-19
Survey response — day 0, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: 6 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth, Dysgeusia, Epistaxis, Nasal congestion, Oropharyngeal pain, Rhinalgia — Feeling: Good · Site: PainFree text: Yesterday (4/18) I had some blood in my right nostril and when I blew my nose a little more blood came out. 4/17 When I woke up, my throat hurt and my mouth felt dry, my nose was achy and felt swollen. I could taste a little blood when I swallowed. Nothing todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Stuffy and runny noseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-17
-
2021-10-20
Dose 3 — Moderna
- 2021-10-27
- 2021-11-03
-
2021-11-10
Survey response — day 21, dose 3MedDRA: Injection site pruritus — Feeling: GoodFree text: My arm is itchy where I received the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2022-01-19
-
2022-04-20
Survey response — 6 months, dose 3MedDRA: Injection site pruritus, Pruritus — Feeling: GoodFree text: Left arm is itchy sometimes where I received the vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Dose 4 — ModernaCo-administered: Flu
- 2022-10-10
- 2022-10-15
- 2022-10-24
- 2022-10-29
- 2022-11-07
-
2022-12-31
Survey response — 3 months, dose 4MedDRA: Injection site pruritus — Feeling: GoodFree text: Injection site is itchyMedDRA releases: 2024-11 · check-in free text available
-
2023-04-01
Survey response — 6 months, dose 4MedDRA: Anosmia, Hypogeusia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
| 4 | 2022-10-01 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-01 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): 6 weeks pregnant
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Yesterday (4/18) I had some blood in my right nostril and when I blew my nose a little more blood came out. 4/17 When I woke up, my throat hurt and my mouth felt dry, my nose was achy and felt swollen. I could taste a little blood when I swallowed. Nothing today
Release 9 — 3 months, dose 2
Symptoms: Stuffy and runny nose
Release 10 — day 21, dose 3
Symptoms: My arm is itchy where I received the vaccine.
Release 11 — 6 months, dose 3
Symptoms: Left arm is itchy sometimes where I received the vaccination
Release 12 — 3 months, dose 4
Symptoms: Injection site is itchy
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 | Anosmia | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Rhinalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release