Y9T-86619-71262
3 vaccinations
4 coded responses
28 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-20
Dose 2 — Moderna
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Trouble sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Functional gastrointestinal disorder, Gastrointestinal disorder, Gastrointestinal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bowel problems with colon spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
- 2021-10-11
- 2021-10-14
-
2021-11-09
Dose 3 — Moderna
- 2022-02-20
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: Blood pressure increased, Fatigue, Hypercholesterolaemia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 1. Higher cholesterol- Lipitor increased from 10mg to 20 mg 2. Higher blood pressure - cardiologist prescribed Metoprolol, 1/2 of a 25mg tab nightly 3. I am experiencing more fatigue now.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-11
- 2022-05-11
-
2022-11-09
Survey response — 12 months, dose 3MedDRA: Cough, Fatigue, Headache, Malaise, Oropharyngeal pain, Respiratory syncytial virus infection, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I can't remember when I last reported in. Early September I tested positive for Covid, but very mild symptoms. Early Nov. I feel like I have RSV. Headache, congestion, slightly sore throat, coughing fits, fatigue. No fever.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Unsuccessful | |
| 2022-05-10 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Trouble sleeping
Release 5 — day 14, dose 2
Symptoms: Bowel problems with colon spasms
Release 11 — 6 months, dose 3
Symptoms: 1. Higher cholesterol- Lipitor increased from 10mg to 20 mg 2. Higher blood pressure - cardiologist prescribed Metoprolol, 1/2 of a 25mg tab nightly 3. I am experiencing more fatigue now.
Release 12 — 12 months, dose 3
Symptoms: I can't remember when I last reported in. Early September I tested positive for Covid, but very mild symptoms. Early Nov. I feel like I have RSV. Headache, congestion, slightly sore throat, coughing fits, fatigue. No fever.
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 | Blood pressure increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Functional gastrointestinal disorder | ○ | ✓ | ○ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypercholesterolaemia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release