YBX-27212-10777
5 vaccinations
5 coded responses
47 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Moderna
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-17
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: FairFree text: Very fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-05-01
Dose 2 — Moderna
-
2021-05-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-16
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
-
2021-07-31
Survey response — 3 months, dose 2MedDRA: Paranasal sinus discomfort, SARS-CoV-2 test negative, Self-medication, Sinus congestion — Feeling: GoodFree text: For 2 days in July- 6th and 6th an elevated temp. 100.2 and 99.? I had few symptoms, a Chinese, sinus stuffiness and pressure, which were gone after taking 1 Sutafed. I was tested for COVID 19 (molecular test) which came back negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-30
-
2021-11-22
Dose 3 — Moderna
- 2022-05-01
-
2022-05-16
Dose 4 — Moderna
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Because of 2nd booster. Booster at 7:00 pm on a Monday, Tuesday, 102 temperature all following day, went to bed same. Next day it was gone.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-04
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-08-15
-
2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-09-19
-
2022-09-20
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-21
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
-
2022-12-21
Survey response — 3 months, dose 5MedDRA: Streptococcal infection, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Strep infection URIMedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-22
Call successfulDoes not wish to fill out VAERS report
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2023-03-22
Survey response — 6 months, dose 5MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-21 | Successful 2022-12-22 |
Does not wish to fill out VAERS report |
| 2023-03-22 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Very fatigued.
Release 9 — 3 months, dose 2
Symptoms: For 2 days in July- 6th and 6th an elevated temp. 100.2 and 99.? I had few symptoms, a Chinese, sinus stuffiness and pressure, which were gone after taking 1 Sutafed. I was tested for COVID 19 (molecular test) which came back negative.
Release 11 — 6 months, dose 3
Symptoms: Because of 2nd booster. Booster at 7:00 pm on a Monday, Tuesday, 102 temperature all following day, went to bed same. Next day it was gone.
Release 12 — 3 months, dose 5
Symptoms: Strep infection URI
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release