YBZ-29268-00408
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, HeadacheAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-03-11
Health check-in — day 7, dose 1Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-18
Survey response — day 14, dose 1MedDRA: Skin exfoliation, Urticaria — Feeling: GoodFree text: On day 8, I developed hives on the arm that received the shot. They lasted about 3 days. Now the skin there is very lightly peeling, but it all feels fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 21, dose 1MedDRA: Diarrhoea, Haematochezia, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: I have very bad nausea, diarrhea, and blood in stool. However, I am 99% certain it is food poisoning. It just began about 18 hours ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-02
Dose 2 — Moderna
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-09
- 2021-04-17
- 2021-04-23
- 2021-05-02
- 2021-05-09
- 2021-05-14
- 2021-07-02
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Exposure to communicable disease, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Minor cold-type symptoms. Most likely contrscted from my daughter who had a bad cold earlier this week. We did have her tested for Covid via PCR and she was negative, so I have no reason to suspect anything worse for me.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — 12 months, dose 2MedDRA: Trigeminal neuralgia — 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: Developed trigeminal neuralgiaMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
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)
- 2022-04-05
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2022-04-05
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-02 | Successful 2022-04-05 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — day 14, dose 1
Symptoms: On day 8, I developed hives on the arm that received the shot. They lasted about 3 days. Now the skin there is very lightly peeling, but it all feels fine.
Release 6 — day 21, dose 1
Symptoms: I have very bad nausea, diarrhea, and blood in stool. However, I am 99% certain it is food poisoning. It just began about 18 hours ago.
Release 9 — 6 months, dose 2
Symptoms: Minor cold-type symptoms. Most likely contrscted from my daughter who had a bad cold earlier this week. We did have her tested for Covid via PCR and she was negative, so I have no reason to suspect anything worse for me.
Release 11 — 12 months, dose 2
Symptoms: Developed trigeminal neuralgia
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Haematochezia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Trigeminal neuralgia | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release