Y9Q-18722-71620
5 vaccinations
12 coded responses
69 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 349 / FL
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
-
2021-01-04
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Fair · Fatigue or tirednessFree text: Metallic taste after vaccine, last a few hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: GoodFree text: Blood pressure unusually higher then normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Fair · Fatigue or tirednessFree text: Blood pressure still higher then normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain in jaw — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Jaw pain, didnt last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-05-03
-
2021-08-02
Survey response — 6 months, dose 2MedDRA: Asthenia, Blood pressure increased, Cough, Headache, Pain, Pyrexia, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever of 103, aches and pains all over, bad headache, elevated blood pressure. Coughing and sneezing and very little energy. Do not go to hospitalMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Fair · Site: Pain · HeadacheFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased — Feeling: Fair · Site: PainFree text: Blood pressure elevated since day of vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased — Feeling: GoodFree text: Blood pressure still elevatedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased — Feeling: FairFree text: Blood Pressure still elevatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-06-21
Dose 4 — Moderna
- 2022-06-21
-
2022-06-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-06-23
-
2022-06-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-09-20
-
2022-12-20
Dose 5 — Moderna
- 2022-12-20
-
2022-12-21
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-12-22
- 2022-12-23
- 2022-12-24
-
2022-12-25
Health check-in — days 1–6 daily, dose 5Feeling: FairFree text: CoughAdult check-in · check-in free text available
-
2022-12-26
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-12-27
Survey response — day 7, dose 5MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough and chest congestionMedDRA releases: 2024-11 · check-in free text available
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2023-01-03
Survey response — day 14, dose 5MedDRA: Cough, Laryngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-03
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-04
- 2023-01-09
- 2023-01-10
- 2023-01-17
- 2023-01-25
- 2023-01-31
- 2023-03-21
- 2023-06-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-06-21 | Moderna | No |
| 5 | 2022-12-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-03 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Metallic taste after vaccine, last a few hours
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Blood pressure unusually higher then normal.
Systemic reaction (other): Blood pressure still higher then normal
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Jaw pain, didnt last long
Release 9 — 6 months, dose 2
Symptoms: Fever of 103, aches and pains all over, bad headache, elevated blood pressure. Coughing and sneezing and very little energy. Do not go to hospital
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue
Systemic reaction (other): Blood pressure elevated since day of vaccine
Systemic reaction (other): Blood pressure still elevated
Systemic reaction (other): Blood Pressure still elevated
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 12 — day 7, dose 5
Systemic reaction (other): Cough and chest congestion
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 | Asthenia | ✓ | · | ✓ |
| SD | Blood pressure increased | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release