YB7-77549-11513
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 503 / IA
- 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
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-25
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-01-29
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Breast swelling — Feeling: FairFree text: Breast swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Micturition urgency — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Urge to urinate even though I didnt need to go.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-03-07
Survey response — day 14, dose 2MedDRA: Dizziness, Vertigo — Feeling: GoodFree text: One night in bed brief dizziness. I have had vertigo before but this was 15 seconds. Probably totally unrelated to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — day 21, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: IBSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 28, dose 2MedDRA: Irritable bowel syndrome — Feeling: FairFree text: IbsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: GI problem yet to be diagnosed. Colonoscopy scheduled. · Healthcare visit (other): In person my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Breast pain — Feeling: FairFree text: I reported this issue before but it has continued off and on. I dont know if is related but didnt have it before Moderna Shot. Sore breasts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: Breast swelling
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Urge to urinate even though I didnt need to go.
Release 5 — day 14, dose 2
Symptoms: One night in bed brief dizziness. I have had vertigo before but this was 15 seconds. Probably totally unrelated to vaccine.
Release 5 — day 21, dose 2
Symptoms: IBS
Release 5 — day 28, dose 2
Symptoms: Ibs
Release 6 — day 42, dose 2
Symptoms: GI problem yet to be diagnosed. Colonoscopy scheduled.
Healthcare visit (other): In person my doctor
Release 8 — 3 months, dose 2
Symptoms: I reported this issue before but it has continued off and on. I dont know if is related but didnt have it before Moderna Shot. Sore breasts.
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Breast swelling | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Micturition urgency | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release