Y9G-33595-78649
4 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 2 — Moderna
-
2021-03-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: GoodFree text: Arm about 2 " under vax spot feels tightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Every few days, my injection arm will start aching at times, about an inch or so under the injection spot. Not a big deal. Just an observation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-23
- 2021-05-01
-
2021-06-18
Survey response — 3 months, dose 2MedDRA: Blood pressure fluctuation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Experiencing fluctuating higher blood pressure readings between a low of 127/68 to a high of 165/88. I'm in the monitoring stage now to supply my Dr with the results. I don't know if it's related to the vaccine or the stress from the last year. · Healthcare visit (other): During my 6 month checkupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
- 2021-09-19
-
2021-10-23
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-28
- 2021-12-04
- 2022-01-22
-
2022-04-23
Dose 4 — Moderna
- 2022-04-23
- 2022-05-19
- 2022-05-21
- 2022-05-31
- 2022-06-05
- 2022-07-24
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-18 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Arm about 2 " under vax spot feels tight
Release 7 — day 21, dose 2
Symptoms: Every few days, my injection arm will start aching at times, about an inch or so under the injection spot. Not a big deal. Just an observation.
Release 9 — 3 months, dose 2
Symptoms: Experiencing fluctuating higher blood pressure readings between a low of 127/68 to a high of 165/88. I'm in the monitoring stage now to supply my Dr with the results. I don't know if it's related to the vaccine or the stress from the last year. cut off by CDC
Healthcare visit (other): During my 6 month checkup
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 pressure fluctuation | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release