YBT-29014-67996
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 814 / CO
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
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2021-01-22
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: A little dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
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2021-02-13
Survey response — day 21, dose 1MedDRA: Vomiting — Feeling: GoodFree text: Vomiting x1MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Abdominal painAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Computerised tomogram, Computerised tomogram head, Condition aggravated, Lymphadenopathy, Pre-existing disease, Thyroid disorder, Ultrasound thyroid abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): On thyroid US last week between doses #1 & 2 enlarged submental lymph node reported-not seen by US before · Healthcare visit (other): A CT of my head and neck and a possible Bx has been recommendedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-26
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2021-04-02
Survey response — day 42, dose 2MedDRA: Lymphadenopathy, Ultrasound scan abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Enlarged lymph node in neck on thyroid US after vaccine, not detectable on neck CT this week, so didnt need to proceed with lymph node biopsy. · Healthcare visit (other): See aboveneck CTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-22
Survey response — 3 months, dose 2MedDRA: Fall, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Related to fall, not vaccine. · Healthcare visit (other): Assessment by PTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
- 2021-06-11
- 2021-08-21
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2022-02-19
Survey response — 12 months, dose 2MedDRA: COVID-19, Unevaluable event — Feeling: Good · 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: Symptoms: Had COVID-19 the end of November. Was diagnosed with it the day I was suppose to get my booster. · Healthcare visit (other): Received monoclonal antibody treatment.MedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-23
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2022-02-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Successful | Completed over the phone |
| 2021-04-02 | Successful | Completed over the phone |
| 2021-05-22 | Successful | Completed over the phone |
| 2022-02-19 | Successful 2022-02-24 |
Completed over the phone |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): A little dizziness
Release 4 — day 21, dose 1
Symptoms: Vomiting x1
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): On thyroid US last week between doses #1 & 2 enlarged submental lymph node reported-not seen by US before
Healthcare visit (other): A CT of my head and neck and a possible Bx has been recommended
Release 6 — day 42, dose 2
Symptoms: Enlarged lymph node in neck on thyroid US after vaccine, not detectable on neck CT this week, so didnt need to proceed with lymph node biopsy.
Healthcare visit (other): See aboveneck CT
Release 8 — 3 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Had COVID-19 the end of November. Was diagnosed with it the day I was suppose to get my booster.
Healthcare visit (other): Received monoclonal antibody treatment.
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 | Computerised tomogram | ○ | ✓ | ○ |
| HCVO | Computerised tomogram head | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Ultrasound scan abnormal | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ○ | ✓ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ○ | ✓ | ○ |
| SRO | Thyroid disorder | ○ | ✓ | ○ |
| SRO | Ultrasound thyroid abnormal | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release