YAF-31221-86733
5 vaccinations
8 coded responses
52 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 770 / TX
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-07
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Itching, swollen, spotted slightly red and hot around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Area around shot became red, hot and swollen. Possibly cellulitis. Currently taking antibiotics for the condition.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-19
Survey response — day 21, dose 1MedDRA: Fatigue, Pain, Pyrexia — Feeling: GoodFree text: Mild fever, achy, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Very weak, needing assistance to walk.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-01
- 2021-03-04
- 2021-03-11
- 2021-04-29
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Tremor — Feeling: FairFree text: TremorsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · Fever · NoneAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Office visit, Parkinson's disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Parkinsons · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-01-22
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-25
-
2022-01-28
Call successfulCompleted over the phone
- 2022-04-23
-
2022-04-28
Call successfulDoes not wish to fill out VAERS report
-
2022-06-10
Dose 4 — Moderna
-
2022-10-21
Dose 5 — Moderna
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: Office visit, Parkinson's disease, Rehabilitation therapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Parkinson's disease · Healthcare visit (other): Doctor visits & rehabMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Office visit, Parkinson's disease, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Diagnosed with Parkinson's disease between 3rd & 4th vaccines. · Healthcare visit (other): Doctor visits and physical therapy.MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Report sent to call center — days 1–6 daily, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-23
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-26
-
2022-10-26
Call successfulDoes not wish to fill out VAERS report
-
2022-10-26
Call successfulDoes not wish to fill out VAERS report
- 2022-10-27
- 2022-10-29
- 2022-11-07
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-03
- 2023-01-22
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | Successful 2022-01-28 |
Completed over the phone |
| 2022-01-22 | Successful 2022-04-28 |
Does not wish to fill out VAERS report |
| 2022-10-23 | Successful 2022-10-26 |
Does not wish to fill out VAERS report |
| 2022-10-23 | Successful 2022-10-26 |
Does not wish to fill out VAERS report |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Itching, swollen, spotted slightly red and hot around injection site.
Release 1 — day 14, dose 1
Symptoms: Area around shot became red, hot and swollen. Possibly cellulitis. Currently taking antibiotics for the condition.
Release 2 — day 21, dose 1
Symptoms: Mild fever, achy, fatigue
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Very weak, needing assistance to walk.
Release 9 — 6 months, dose 2
Symptoms: Tremors
Release 11 — 3 months, dose 3
Release 12 — 12 months, dose 3
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Diagnosed with Parkinson's disease between 3rd & 4th vaccines.
Healthcare visit (other): Doctor visits and physical therapy.
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Rehabilitation therapy | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Parkinson's disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ○ | ○ | ○ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Parkinson's disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release