Y9F-29466-92712
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 941 / CA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Moderna
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2021-03-14
Dose 2 — Moderna
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2021-03-20
Registered in v-safe
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach jabbingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to workAdult check-in
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2021-03-28
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Asthenia, Fatigue, Gastrointestinal disorder, Headache — Feeling: FairFree text: Extreme fatigue, stomach pains , and irritable bowel quite a bit but not quite irritable bowel, lots of stomach issues. The fatigue is bad, no energy. headAches, I am not someone who gets headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
- 2021-04-18
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2021-04-29
Survey response — day 42, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: Headaches and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-13
Survey response — 3 months, dose 2MedDRA: Asthenopia, Cough, Fatigue, Nasopharyngitis, Sneezing — Feeling: GoodFree text: Cold and allergy symptoms with sneezing and coughing and fatigue, eyes heavy, lasted 2 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-12
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Viral infection — Feeling: GoodFree text: Since vaccination i seem to be catching a virus or cold easily more often as if my immune system is lowMedDRA releases: 2024-11 · check-in free text available
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2022-03-14
Survey response — 12 months, dose 2MedDRA: Asthenia, Herpes zoster, Neuralgia, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shingles and extreme nerve pain. debilitating · Healthcare visit (other): Ophthalmology and InternistMedDRA releases: 2024-11 · check-in free text available
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2022-03-14
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2022-03-17
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-14 | Successful 2022-03-17 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Stomach jabbings
Release 6 — day 14, dose 2
Symptoms: Extreme fatigue, stomach pains , and irritable bowel quite a bit but not quite irritable bowel, lots of stomach issues. The fatigue is bad, no energy. headAches, I am not someone who gets headaches
Release 8 — day 42, dose 2
Symptoms: Headaches and fatigue
Release 9 — 3 months, dose 2
Symptoms: Cold and allergy symptoms with sneezing and coughing and fatigue, eyes heavy, lasted 2 weeks
Release 9 — 6 months, dose 2
Symptoms: Since vaccination i seem to be catching a virus or cold easily more often as if my immune system is low
Release 11 — 12 months, dose 2
Symptoms: Shingles and extreme nerve pain. debilitating
Healthcare visit (other): Ophthalmology and Internist
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthenopia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release