Y9R-15482-81663
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 302 / GA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 2 — Moderna
-
2021-04-16
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, DiarrheaAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Last week I started with a sciatica issue that has gotten severely worse. I told you before how it affected my arthritis after getting the second shot I think this is another side effect from it if I don't remember doing anything to aggravate sciatic · Healthcare visit (other): Chiropractor and my own physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-07
Survey response — day 21, dose 2MedDRA: Chiropractic, Office visit, Pain, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Still in extreme pain from sciatica had several doctor visits today trying medications waiting for therapy to call · Healthcare visit (other): Chiropractor in general medicineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
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2021-05-22
Survey response — day 35, dose 2MedDRA: Fatigue, Sciatica — Feeling: FairFree text: Still suffering with sciatica and extremely tired for the last week also was able to work but very difficultMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-07-16
- 2021-10-15
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Unsuccessful | |
| 2021-05-07 | Unsuccessful |
Free text
Release 8 — day 14, dose 2
Symptoms: Last week I started with a sciatica issue that has gotten severely worse. I told you before how it affected my arthritis after getting the second shot I think this is another side effect from it if I don't remember doing anything to aggravate sciatic cut off by CDC
Healthcare visit (other): Chiropractor and my own physician
Release 8 — day 21, dose 2
Symptoms: Still in extreme pain from sciatica had several doctor visits today trying medications waiting for therapy to call
Healthcare visit (other): Chiropractor in general medicine
Release 8 — day 35, dose 2
Symptoms: Still suffering with sciatica and extremely tired for the last week also was able to work but very difficult
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 | Chiropractic | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release