Y9D-21947-76824
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 210 / MD
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Abdominal painFree text: Feeling foggy, just not fully clicked in, Monday morning....disappeared after an hour and a half nap. Then I was fine for the rest of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-17
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Headache, Self-medication — Feeling: Good · Site: PainFree text: Yesterday I woke up with a headache, took 2 Tylenol and went back to sleep for 2.5 hours...headache gone....had a feeling of pressure in the area of my sternum but no pain and it lasted a very short time....this was the second day after my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-04
- 2021-03-10
-
2021-03-17
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Some dizziness....this is allergy season so some may be related to thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Medical counselling, Paranasal sinus inflammation, Pre-existing disease, Sensitivity to weather change — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Sinus inflammation but I usually have this situation in the early spring · Healthcare visit (other): Phone callsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-21
- 2021-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling foggy, just not fully clicked in, Monday morning....disappeared after an hour and a half nap. Then I was fine for the rest of the day.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I woke up with a headache, took 2 Tylenol and went back to sleep for 2.5 hours...headache gone....had a feeling of pressure in the area of my sternum but no pain and it lasted a very short time....this was the second day after my shot
Release 5 — day 28, dose 2
Symptoms: Some dizziness....this is allergy season so some may be related to that
Release 6 — day 42, dose 2
Symptoms: Sinus inflammation but I usually have this situation in the early spring
Healthcare visit (other): Phone calls
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Paranasal sinus inflammation | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release