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Y9V-38683-07699

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
442 / OH
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Chills, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Reporting 2 days after 2nd vaccine. I had fever, chills, body aches, headache, weakness, nausea and vomiting starting 10 hours after second vaccine and lasting 36 hours. Feeling better now; almost back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  14. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Head discomfort — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Dizziness, feeling heavy-headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Head discomfort — Feeling: Fair · Fatigue or tiredness
    Free text: Feeling heavy headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Head discomfort — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Heavy headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Chest discomfort, Office visit, Pericardial effusion — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Small pericardial effusion diagnosed on echocardiogram that was ordered by my pcp to evaluate chest discomfort. Cardiology appointment pending. · Healthcare visit (other): Office appointments
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-07
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-18
  28. 2022-04-18
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-07 Successful
2022-04-18
Does not wish to fill out VAERS report

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Reporting 2 days after 2nd vaccine. I had fever, chills, body aches, headache, weakness, nausea and vomiting starting 10 hours after second vaccine and lasting 36 hours. Feeling better now; almost back to normal.

2021-02-09

Systemic reaction (other): Dizziness, feeling heavy-headed

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Feeling heavy headed

2021-02-11

Systemic reaction (other): Heavy headed

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Small pericardial effusion diagnosed on echocardiogram that was ordered by my pcp to evaluate chest discomfort. Cardiology appointment pending.
Healthcare visit (other): Office appointments

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDPericardial effusion ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release