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YC5-53310-32907

5 vaccinations 11 coded responses 52 check-ins 11 free-text entries 3 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
958 / CA
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Registered in v-safe
  2. 2021-01-20
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Tinnitus — Feeling: Good
    Free text: Ear ringing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-17
    Dose 2 — Moderna
  10. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  12. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-21
    Dose 3 — Moderna
  24. 2021-08-21
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  25. 2021-08-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  26. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  27. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  28. 2021-08-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-08-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-08-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-08-28
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-09-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-09-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-09-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-09-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-20
    Survey response — 3 months, dose 3
    MedDRA: Asthma, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Asthma flare-up · Healthcare visit (other): Prescription refill
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-20
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2021-11-29
  40. 2022-02-19
    Survey response — 6 months, dose 3
    MedDRA: Abdominal pain, Condition aggravated, Diarrhoea, Fatigue, Haematochezia, Nausea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: IBD flare-up: abdominal pain, loose stool, blood in stool, nausea, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-03-11
    Dose 4 — Moderna
  42. 2022-03-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  43. 2022-03-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  44. 2022-03-14
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Swollen lymph node
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-03-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Rash — Feeling: Good
    Free text: Skin rash
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-03-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site rash, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I have actually had the rash since the day after my vaccination, but I didn't realize it was related until I noticed the rash at the injection site, too
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-03-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  48. 2022-03-20
    Health check-in — day 7, dose 4
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  49. 2022-03-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-04-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-04-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-04-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-04-22
    Survey response — day 42, dose 4
    MedDRA: Rash, Rash erythematous, Rash pruritic, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: The rash side effect on my face is coming back now that I've stopped taking benadryl or putting topical cremes on it. It is not as bad as before yet, but I have tiny, red, slightly itchy bumps all over my face
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-04-22
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  55. 2022-04-25
  56. 2022-04-25
    Call successful
    Participant prefers to complete VAERS report online
  57. 2022-06-10
    Survey response — 3 months, dose 4
    MedDRA: Abdominal pain upper, Back pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Upper abdominal and mid back pain roughly 7 hours a day for three weeks. MD thinks it may be GERD
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-06-10
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  59. 2022-06-13
  60. 2022-07-15
    Dose 5 — Moderna
  61. 2022-07-15
    Health check-in — day 0, dose 5
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  62. 2022-07-16
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Sore lymph node
    MedDRA releases: 2024-11 · check-in free text available
  63. 2022-07-17
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore limph node
    MedDRA releases: 2024-11 · check-in free text available
  64. 2022-07-18
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Sor lymph node
    MedDRA releases: 2024-11 · check-in free text available
  65. 2022-07-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna
32021-08-21Moderna No
42022-03-11Moderna No
52022-07-15Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-20 Successful Participant prefers to complete VAERS report online
2022-04-22 Successful
2022-04-25
Participant prefers to complete VAERS report online
2022-06-10 Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Ear ringing

Release 10 — 3 months, dose 3

2021-11-20

Symptoms: Asthma flare-up
Healthcare visit (other): Prescription refill

Release 11 — 6 months, dose 3

2022-02-19

Symptoms: IBD flare-up: abdominal pain, loose stool, blood in stool, nausea, fatigue

Release 11 — days 1–6 daily, dose 4

2022-03-14

Systemic reaction (other): Swollen lymph node

2022-03-15

Systemic reaction (other): Skin rash

2022-03-16

Systemic reaction (other): I have actually had the rash since the day after my vaccination, but I didn't realize it was related until I noticed the rash at the injection site, too

Release 11 — day 42, dose 4

2022-04-22

Symptoms: The rash side effect on my face is coming back now that I've stopped taking benadryl or putting topical cremes on it. It is not as bad as before yet, but I have tiny, red, slightly itchy bumps all over my face

Release 12 — 3 months, dose 4

2022-06-10

Symptoms: Upper abdominal and mid back pain roughly 7 hours a day for three weeks. MD thinks it may be GERD

Release 12 — days 1–6 daily, dose 5

2022-07-16

Systemic reaction (other): Sore lymph node

2022-07-17

Systemic reaction (other): Sore limph node

2022-07-18

Systemic reaction (other): Sor lymph node

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SDAsthma · · ✓
SDBack pain · · ✓
SDCondition aggravated · · ✓
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDHaematochezia · · ✓
SDNausea · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SDRash · · ✓
SDRash erythematous · · ✓
SDRash pruritic · · ✓
SDSelf-medication · · ✓
SROInjection site rash · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SRORash · · ✓
SROTinnitus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release