YAP-22004-94704
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 333 / FL
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
- 2021-04-21
- 2021-04-27
- 2021-05-04
-
2021-05-11
Dose 2 — Moderna
- 2021-05-11
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
-
2021-05-18
Survey response — day 7, dose 2MedDRA: Cough, Productive cough — Feeling: GoodFree text: Coughing up phlegm two days now can just be cold relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
-
2021-06-22
Survey response — day 42, dose 2MedDRA: Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Real Bad headstone yesterday 6-21-21 last just about all day took two Tylenol at 511am and put ice pack on forehead went back to sleep then around 1143am took another Tylenol and just rested and drunk water,Today 6-22-21 took Tylenol slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-10
Survey response — 3 months, dose 2MedDRA: Cough, Office visit, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, coughing, runny nose Much better now after Urgent care visit had COVID Test gone there and results were negativeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-10 | Unsuccessful |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Coughing up phlegm two days now can just be cold related
Release 9 — day 42, dose 2
Symptoms: Real Bad headstone yesterday 6-21-21 last just about all day took two Tylenol at 511am and put ice pack on forehead went back to sleep then around 1143am took another Tylenol and just rested and drunk water,Today 6-22-21 took Tylenol slight headache cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: Sore throat, coughing, runny nose Much better now after Urgent care visit had COVID Test gone there and results were negative
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 | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release