YAV-11497-50321
4 vaccinations
6 coded responses
39 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 321 / FL
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-14
- 2021-01-19
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-05-06
Survey response — 3 months, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Three days of severe weakness in arms and legs. Overwhelmingly exhaustion that lasted a few days longer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-03
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Dyspnoea exertional, Muscular weakness, Pre-existing disease, Unevaluable event — Feeling: Poor · 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: Can only walk a short distance before l start gasping for breath. Arms are extremely weak and am more exhausted than usual. · Healthcare visit (other): Telehealth tomorrowMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-03
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-14
Dose 3 — Moderna
- 2021-10-25
- 2021-10-28
- 2021-11-03
- 2021-11-04
- 2021-11-11
-
2021-11-18
Survey response — day 35, dose 3MedDRA: Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Lung wheezing, May be pneumonia.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-19
- 2021-11-22
-
2021-11-25
Survey response — day 42, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: I have two lung disease that have worsen lately. Nothing to do with vaccination.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-01-14
- 2022-01-15
-
2022-04-13
Dose 4 — Moderna
- 2022-04-14
-
2022-04-20
Survey response — day 7, dose 4MedDRA: Vertigo — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Vertigo since SaturdayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-04
-
2022-05-11
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exhausted even more than usualMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
- 2022-07-16
- 2022-10-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-10-14 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-03 | Unsuccessful | |
| 2021-11-18 | Unsuccessful | |
| 2021-11-25 | Unsuccessful |
Free text
Release 8 — 3 months, dose 2
Symptoms: Three days of severe weakness in arms and legs. Overwhelmingly exhaustion that lasted a few days longer.
Release 9 — 6 months, dose 2
Symptoms: Can only walk a short distance before l start gasping for breath. Arms are extremely weak and am more exhausted than usual.
Healthcare visit (other): Telehealth tomorrow
Release 10 — day 35, dose 3
Symptoms: Lung wheezing, May be pneumonia.
Release 10 — day 42, dose 3
Symptoms: I have two lung disease that have worsen lately. Nothing to do with vaccination.
Release 11 — day 7, dose 4
Systemic reaction (other): Vertigo since Saturday
Release 11 — day 28, dose 4
Symptoms: Exhausted even more than usual
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Dyspnoea exertional | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release