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YCK-92907-86192

4 vaccinations 6 coded responses 37 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
151 / PA
Registered
2021-02-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-02-21
    Registered in v-safe
  3. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  6. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Joint pains
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  9. 2021-02-27
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  10. 2021-03-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-20
    Dose 2 — Moderna
  13. 2021-03-20
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tiredness
    Free text: Light headed...similar to very mild vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fatigue and no energy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  17. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  21. 2021-04-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-10
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Good
    Free text: Index first joint of both index fingers swollen and sore. Right hand has been swollen previously. Left hand started after second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-19
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-19
    Survey response — 3 months, dose 2
    MedDRA: Anxiety, Arthralgia, Chest pain, Emergency care, Gastrooesophageal reflux disease, Stress — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Stress related anxiety,. Chest pain along with shoulder ache went to ER on Dr recommendation. Nothing found. Followed up with endoscopy due to gastro reflux.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-19
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-06-25
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2021-09-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-11
    Dose 3 — Moderna
  31. 2022-02-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-15
    Dose 4 — Moderna
  33. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-06
    Survey response — day 21, dose 4
    MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: Good
    Free text: Symptoms of cold sneezing slight cough.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-07-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-04-17
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna
32021-11-11Moderna No
42022-04-15Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-19 Successful
2021-06-25
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Runny nose

Release 6 — day 0, dose 2

2021-03-20

Systemic reaction (other): Light headed...similar to very mild vertigo

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Fatigue and no energy.

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Index first joint of both index fingers swollen and sore. Right hand has been swollen previously. Left hand started after second vaccine.

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Stress related anxiety,. Chest pain along with shoulder ache went to ER on Dr recommendation. Nothing found. Followed up with endoscopy due to gastro reflux.

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Symptoms of cold sneezing slight cough.

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
SDAnxiety ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough · · ✓
SDEmergency care ✓ ✓ ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDSneezing · · ✓
SDStress ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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

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