YBS-21834-67211
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention, Dysgeusia, Parosmia — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Some tastes and smells are much more bitter. My mind feels foggier than usual -- hard to focus and stay on task.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · NoneAdult check-in
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessFree text: Don't feel nausea when I don't eat, but stomach still feels sensitive and unhappy with some foods when I do eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-06-18
Survey response — day 35, dose 2MedDRA: Abdominal discomfort — Feeling: FairFree text: Been having an upset stomach 3 or 4 days a week since my second Covid shot. May be from something else, but I don't know what that could be and it is an unusual symptom for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2022-05-14
Survey response — 12 months, dose 2MedDRA: Arthritis, Intestinal obstruction, Pre-existing disease, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Inntestinal blockage/surgery. Worsening of arthritis symptoms. Probably unrelated to Covid shots.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-14 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Some tastes and smells are much more bitter. My mind feels foggier than usual -- hard to focus and stay on task.
Systemic reaction (other): Don't feel nausea when I don't eat, but stomach still feels sensitive and unhappy with some foods when I do eat.
Release 9 — day 35, dose 2
Symptoms: Been having an upset stomach 3 or 4 days a week since my second Covid shot. May be from something else, but I don't know what that could be and it is an unusual symptom for me.
Release 11 — 12 months, dose 2
Symptoms: Inntestinal blockage/surgery. Worsening of arthritis symptoms. Probably unrelated to Covid shots.
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 | Arthritis | · | · | ✓ |
| SD | Intestinal obstruction | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release