YA7-17013-99915
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 666 / KS
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: All worse in the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-07
- 2021-05-22
- 2021-08-19
-
2021-10-04
Dose 3 — Moderna
- 2021-10-26
- 2021-11-01
- 2021-11-10
- 2021-11-15
-
2022-01-03
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Headache, Medical counselling, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Covid on Dec.19. Bad cough, exhausted, congestion, initial headache, and 3 day 103.5 fever. Today first day i tested negative. Still mild cough and fatigued. Spouse tested positive Dec. 30. Basically been in isolation since 19th due to both dx. · Healthcare visit (other): Spouse is MDMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-06
-
2022-01-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-06
-
2022-10-04
Survey response — 12 months, dose 3MedDRA: Asthenia, Cough, Fatigue, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tested positive again for Covid Oct. 2. Much milder case but cough and fatigue pretty good. Just more tired than usual now, with endurance not usual yet.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-03 | Successful 2022-01-06 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): All worse in the night.
Release 10 — 3 months, dose 3
Symptoms: Covid on Dec.19. Bad cough, exhausted, congestion, initial headache, and 3 day 103.5 fever. Today first day i tested negative. Still mild cough and fatigued. Spouse tested positive Dec. 30. Basically been in isolation since 19th due to both dx.
Healthcare visit (other): Spouse is MD
Release 12 — 12 months, dose 3
Symptoms: Tested positive again for Covid Oct. 2. Much milder case but cough and fatigue pretty good. Just more tired than usual now, with endurance not usual yet.
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 | Medical counselling | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release