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YAX-19831-37842

5 vaccinations 9 coded responses 48 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
321 / FL
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Good · Site: Pain
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Skin discolouration — Feeling: Good
    Free text: Woke up with painful purple toe, but I must have kicked something, although I don't remember doing that. I was worried I had "Covid toes"!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains
    Adult check-in
  8. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Swelling of eyelid — Feeling: Good
    Free text: I realized that about the 4th and 6th days after my shot, I thought I was bitten by a bug on my eye, but there was no itching the next day, so it may have been a vaccine reaction.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  14. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  19. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-09
    Survey response — day 7, dose 2
    MedDRA: Neuralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sharp nerve pain in big toe off and on since yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-22
    Dose 3 — Moderna
  29. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-23
    Survey response — 3 months, dose 3
    MedDRA: Balance disorder, Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some dizziness and a feeling of being off-balance. Not all the time. Comes and goes,
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-01
    Dose 4 — Moderna
  41. 2022-04-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-09-06
    Dose 5 — Moderna
    Co-administered: Flu
  48. 2022-09-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-09-30
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-04
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-11
    Survey response — day 35, dose 5
    MedDRA: Muscle spasms, Muscle twitching — Feeling: Good
    Free text: Muscle twitches and cramps in one leg and buttocks
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-18
    Survey response — day 42, dose 5
    MedDRA: Brain fog, Migraine with aura — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Migraines with aura but no pain twice yesterday. Foggy today
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-12-06
    Survey response — 3 months, dose 5
    MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities
    Free text: Dizziness upon waking up
    MedDRA releases: 2024-11 · check-in free text available
  54. 2023-03-07
    Survey response — 6 months, dose 5
    MedDRA: COVID-19, Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  55. 2023-03-07
    Report sent to call center — 6 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  56. 2023-03-08

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-02Moderna
32021-10-22Moderna No
42022-04-01Moderna No
52022-09-06Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2023-03-07 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Nasal congestion

2021-01-09

Systemic reaction (other): Woke up with painful purple toe, but I must have kicked something, although I don't remember doing that. I was worried I had "Covid toes"!

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): I realized that about the 4th and 6th days after my shot, I thought I was bitten by a bug on my eye, but there was no itching the next day, so it may have been a vaccine reaction.

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): Sharp nerve pain in big toe off and on since yesterday

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Some dizziness and a feeling of being off-balance. Not all the time. Comes and goes,

Release 12 — day 35, dose 5

2022-10-11

Symptoms: Muscle twitches and cramps in one leg and buttocks

Release 12 — day 42, dose 5

2022-10-18

Symptoms: Migraines with aura but no pain twice yesterday. Foggy today

Release 12 — 3 months, dose 5

2022-12-06

Symptoms: Dizziness upon waking up

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

FieldPreferred term2021-092023-042024-11
SDBalance disorder · · ✓
SDBrain fog · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDizziness · · ✓
SDMigraine with aura · · ✓
SDMuscle spasms · · ✓
SDMuscle twitching · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SRONasal congestion ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓
SROSwelling of eyelid ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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