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
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Chills, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Diarrhea, Abdominal pain · Be unable to workAdult check-in
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Head discomfort — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness, feeling heavy-headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort — Feeling: Fair · Fatigue or tirednessFree text: Feeling heavy headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Heavy headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Office visit, Pericardial effusion — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 appointmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-06
- 2022-02-05
- 2022-04-18
-
2022-04-18
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
| Reported | Outcome | VAERS-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
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.
Systemic reaction (other): Dizziness, feeling heavy-headed
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling heavy headed
Systemic reaction (other): Heavy headed
Release 8 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Pericardial effusion | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release