YA2-11807-84642
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 545 / WI
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
-
2021-03-20
Survey response — day 0, dose 2MedDRA: Aura — Feeling: Good · HeadacheFree text: About 20 min. after the shot, I started to get a slight aura for about 10 min., similar to when Im getting a migraine. Never developed into a migraine, though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pain, Rash pruritic — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: The rash actually showed up yesterday after I had already sent in my check-up. It itched a little, but was hardly noticeable this morning. The redness around the shot area showed up later yesterday also and is still a little red and tender as of tonight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
-
2021-03-27
Survey response — day 7, dose 2MedDRA: Headache, Nausea, Self-medication — Feeling: Fair · Headache, NauseaFree text: The headache and nausea hit early this afternoon, very unexpectedly. Took a Tum and some ibuprofen and lay down for about a half an hour. Nausea is gone, but still have a slight headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-03
- 2021-06-19
- 2021-09-18
-
2021-11-15
Dose 3 — ModernaCo-administered: Flu
-
2022-03-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I got Covid in January. Am fine now. No long Covid smptoms. Did not lose taste or smell. Just fever and very bad cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-22
-
2022-04-27
Dose 4 — Moderna
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-06
- 2022-05-11
- 2022-07-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-11-15 | Moderna | Flu |
| 4 | 2022-04-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-20 | Unsuccessful |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): About 20 min. after the shot, I started to get a slight aura for about 10 min., similar to when Im getting a migraine. Never developed into a migraine, though.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The rash actually showed up yesterday after I had already sent in my check-up. It itched a little, but was hardly noticeable this morning. The redness around the shot area showed up later yesterday also and is still a little red and tender as of tonight.
Release 6 — day 7, dose 2
Systemic reaction (other): The headache and nausea hit early this afternoon, very unexpectedly. Took a Tum and some ibuprofen and lay down for about a half an hour. Nausea is gone, but still have a slight headache.
Release 11 — 12 months, dose 2
Symptoms: I got Covid in January. Am fine now. No long Covid smptoms. Did not lose taste or smell. Just fever and very bad cough.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Aura | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release