YBK-63505-60310
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2021-07-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-28
Registered in v-safe
-
2021-07-28
Dose 1 — Moderna
- 2021-07-28
- 2021-07-29
- 2021-07-30
-
2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: Good · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Getting a cold sore on my lipMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-01
- 2021-08-02
- 2021-08-03
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-08-25
-
2021-09-01
Survey response — day 35, dose 1MedDRA: Exposure to SARS-CoV-2, Malaise — 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: Exposed to COVID. Hopefully all my symptoms will be from allergies. Got tested todayMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-08
Survey response — day 42, dose 1MedDRA: COVID-19, Quarantine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Positive for COVID-19. Both my husband and myself... we are quarantined until the 13thMedDRA releases: 2024-11 · check-in free text available
- 2021-09-08
-
2021-09-08
Call successfulDoes not wish to fill out VAERS report
- 2021-10-27
-
2021-12-27
Dose 2 — Moderna
-
2022-01-26
Survey response — 6 months, dose 1MedDRA: Office visit, Rhinorrhoea, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continuous runny nose and sneezing for weeks now · Healthcare visit (other): Ear nose throat specialistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Survey response — day 28, dose 2MedDRA: Office visit, Rhinorrhoea, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Same thing as what I put in just a little bit ago sneezing and a runny nose for weeks · Healthcare visit (other): Ears nose throat specialistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-26
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-28
- 2022-01-31
- 2022-02-07
-
2022-03-28
Survey response — 3 months, dose 2MedDRA: Hepatic pain — Feeling: GoodFree text: Started having pains in the area of my liver. Not sure what's going on with that.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
- 2022-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-28 | Moderna | No |
| 2 | 2021-12-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-01 | Successful 2021-09-08 |
Does not wish to fill out VAERS report |
| 2022-01-26 | Unsuccessful | |
| 2022-01-26 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Getting a cold sore on my lip
Release 9 — day 35, dose 1
Symptoms: Exposed to COVID. Hopefully all my symptoms will be from allergies. Got tested today
Release 9 — day 42, dose 1
Symptoms: Positive for COVID-19. Both my husband and myself... we are quarantined until the 13th
Release 11 — 6 months, dose 1
Symptoms: Continuous runny nose and sneezing for weeks now
Healthcare visit (other): Ear nose throat specialist
Release 11 — day 28, dose 2
Symptoms: Same thing as what I put in just a little bit ago sneezing and a runny nose for weeks
Healthcare visit (other): Ears nose throat specialist
Release 11 — 3 months, dose 2
Symptoms: Started having pains in the area of my liver. Not sure what's going on with that.
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 | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | · | ✓ |
| SD | Hepatic pain | · | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Oral herpes | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release