YAT-25434-05690
3 vaccinations
9 coded responses
34 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 594 / MT
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-24
- 2021-02-26
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2021-03-04
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: Constant headache since Sunday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: Ive been much more tired lately which is so unlike me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Dose 2 — Moderna
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-23
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2021-04-29
Survey response — day 42, dose 2MedDRA: Vaccination site pain — Feeling: Fair · 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: Right arm where I had the vaccine is in excruciating pain for the past 5 days. Ive seen a dr. Recommended icing and ibuprofen the first visit 4 days and today had a steroid shot which hasnt kicked in yet. May or May not be related to getting vaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-17
- 2021-09-16
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: SwellingFree text: Dizzy, ears ringingMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Site: SwellingFree text: A bit of a sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-18
- 2021-11-26
- 2021-12-04
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2021-12-09
Survey response — day 42, dose 3MedDRA: Cough, Headache, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms cough, headache, running noseMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
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2022-04-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-30
Survey response — 6 months, dose 3MedDRA: Deafness, Headache, Tinnitus — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headaches and hearing loss and tinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had COVID in JulyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-29 | Successful 2022-04-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — day 14, dose 1
Symptoms: Constant headache since Sunday.
Release 5 — day 21, dose 1
Symptoms: Ive been much more tired lately which is so unlike me.
Release 8 — day 42, dose 2
Symptoms: Right arm where I had the vaccine is in excruciating pain for the past 5 days. Ive seen a dr. Recommended icing and ibuprofen the first visit 4 days and today had a steroid shot which hasnt kicked in yet. May or May not be related to getting va
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): Dizzy, ears ringing
Systemic reaction (other): A bit of a sore throat
Release 10 — day 42, dose 3
Symptoms: Cold symptoms cough, headache, running nose
Release 11 — 6 months, dose 3
Symptoms: Headaches and hearing loss and tinnitus
Release 12 — 12 months, dose 3
Symptoms: Had COVID in July
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 | Deafness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release