YAJ-25629-01407
4 vaccinations
6 coded responses
33 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-02-05
- 2021-02-13
-
2021-02-18
Dose 2 — Moderna
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Fatigue or tirednessFree text: Developed fever blisterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes, Pain — Feeling: Good · Site: ItchingFree text: Fever blister still painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Chills, DiarrheaFree text: Have not felt myself since getting the 2nd shot but I am better everyday just so odd - I did not have one symptom after the first shot. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-12
- 2021-03-18
- 2021-03-25
- 2021-04-02
- 2021-05-20
- 2021-08-19
-
2021-11-21
Dose 3 — Moderna
- 2022-02-18
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-27
-
2022-05-03
Survey response — day 21, dose 4MedDRA: Plantar fasciitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Planter fasciitisMedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
-
2022-05-22
Survey response — day 35, dose 4MedDRA: Condition aggravated, Office visit, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint, knees, archilies tendon , had all of these before but all flared up after 2nd booster shot at the same time. Maybe just coinstidence but don't know - haven't acted up in a awhile and very painful more so than original. · Healthcare visit (other): Doctors' officesMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-23
-
2022-05-26
Survey response — day 42, dose 4MedDRA: Arthritis, Plantar fasciitis — Feeling: Poor · 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: Inflammation In Knees and planter fasciitisMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-26
-
2022-05-27
Call successfulCompleted over the phone
-
2022-06-27
Call successfulCompleted over the phone
- 2022-07-12
- 2022-10-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-22 | Successful 2022-06-27 |
Completed over the phone |
| 2022-05-26 | Successful 2022-05-27 |
Completed over the phone |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Developed fever blister
Systemic reaction (other): Fever blister still painful
Release 4 — day 7, dose 2
Systemic reaction (other): Have not felt myself since getting the 2nd shot but I am better everyday just so odd - I did not have one symptom after the first shot. Thank you
Release 11 — day 21, dose 4
Symptoms: Planter fasciitis
Release 11 — day 35, dose 4
Symptoms: Joint, knees, archilies tendon , had all of these before but all flared up after 2nd booster shot at the same time. Maybe just coinstidence but don't know - haven't acted up in a awhile and very painful more so than original.
Healthcare visit (other): Doctors' offices
Release 11 — day 42, dose 4
Symptoms: Inflammation In Knees and planter fasciitis
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 | Arthritis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Plantar fasciitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release