YBR-29196-94963
4 vaccinations
13 coded responses
51 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 546 / WI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Dose 1 — Moderna
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2021-03-18
Registered in v-safe
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: Mild headache; I am prone to headaches so it might not be from vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
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2021-03-31
Survey response — day 14, dose 1MedDRA: Arthralgia, Gait disturbance — Feeling: GoodFree text: Right knee pain for a day, difficult to walk sometimes (after I'd been sitting a while). I don't remember wrenching my knee, but I might have. Then the pain went away and it's been fine since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
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2021-12-07
Dose 3 — Moderna
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2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Peripheral coldness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore arm, not at the injection site. Cold hands.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Today and the last couple of days I've also felt light-headed.MedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain · Joint painsFree text: Joint pain probably not related to vaccine but to other health issues.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Joint painsFree text: Joint pain is an ongoing issue for me, probably not related to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
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2022-01-12
Survey response — day 35, dose 3MedDRA: Cough, Exposure to SARS-CoV-2, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Exposed to Covid. Got a cough, runny nose and congestion. Took a rapid test and it was negative. Waiting on results from PCR test.MedDRA releases: 2024-11 · check-in free text available
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2022-01-18
Survey response — day 42, dose 3MedDRA: Abdominal discomfort, Cough, Headache — Feeling: FairFree text: Cough, upset stomach, headache. Note: rapid test and PCR test last week came back negative.MedDRA releases: 2024-11 · check-in free text available
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2022-03-08
Survey response — 3 months, dose 3MedDRA: Abdominal discomfort, Asthenia, Chills, Cough, Dizziness, Fatigue, Headache, Malaise, Myalgia, Nausea, Pyrexia, Taste disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, chills, upset stomach, dizziness, food tasted off, headache, fatigue, muscle aches, coughing, nausea. Sick for 2+ weeks, then weak and lack of energy for about a month afterwards (gradually improving day by day). Flu or Covid ???MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Dose 4 — Moderna
- 2022-05-21
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia, Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Weakness, light headedMedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint painsFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-29
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
- 2022-11-19
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2023-05-21
Survey response — 12 months, dose 4MedDRA: Dyspnoea exertional, Malaise, Palpitations, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-05-21
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-21 | Successful 2023-05-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild headache; I am prone to headaches so it might not be from vaccine
Release 6 — day 14, dose 1
Symptoms: Right knee pain for a day, difficult to walk sometimes (after I'd been sitting a while). I don't remember wrenching my knee, but I might have. Then the pain went away and it's been fine since.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore arm, not at the injection site. Cold hands.
Systemic reaction (other): Today and the last couple of days I've also felt light-headed.
Systemic reaction (other): Joint pain probably not related to vaccine but to other health issues.
Systemic reaction (other): Joint pain is an ongoing issue for me, probably not related to vaccine.
Release 10 — day 35, dose 3
Symptoms: Exposed to Covid. Got a cough, runny nose and congestion. Took a rapid test and it was negative. Waiting on results from PCR test.
Release 10 — day 42, dose 3
Symptoms: Cough, upset stomach, headache. Note: rapid test and PCR test last week came back negative.
Release 11 — 3 months, dose 3
Symptoms: Fever, chills, upset stomach, dizziness, food tasted off, headache, fatigue, muscle aches, coughing, nausea. Sick for 2+ weeks, then weak and lack of energy for about a month afterwards (gradually improving day by day). Flu or Covid ???
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Weakness, light headed
Systemic reaction (other): Light headed
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 | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release