YD2-27645-69224
6 vaccinations
13 coded responses
79 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 968 / HI
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Moderna
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2021-01-28
Registered in v-safe
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Stomach - not hungryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes localized to chest/breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
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2021-03-17
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Musculoskeletal discomfort — Feeling: GoodFree text: Enlarged cervical lymph nodes - discomfort which I hoped would fully subside but not yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 28, dose 2MedDRA: Hypersensitivity, Pre-existing disease, SARS-CoV-2 test negative, Sinusitis — Feeling: GoodFree text: Sinusitis. I took at Covid-19 surveillance test on 3/16/2021 and reported back NEGATIVE for SARS-CoV2. Probably allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 35, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinusitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still experiencing heavy chest sensation that started 24 hrs after the 2nd jab, right after a very easy swim. Never dropped oxygen saturation but increased resting heart rate. Sensation of heaviness still exists but resolving by taking it easie · Healthcare visit (other): Related and discussed symptoms to MD/colleagueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
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2021-09-08
Dose 3 — Moderna
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2021-09-08
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-09-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-09-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-09-12
- 2021-09-13
- 2021-09-14
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2021-09-15
Survey response — day 7, dose 3MedDRA: Haemoptysis, Pruritus, Tonsillar erythema, Tonsillar hypertrophy — Feeling: GoodFree text: Swollen tonsils, red, itchy with slight blood sputumMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — day 14, dose 3MedDRA: Haemoptysis, Oropharyngeal pain, Tonsillar hypertrophy — Feeling: GoodFree text: Slight sore throat, slight red/tinge blood in sputum, swollen tonsilsMedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Survey response — day 21, dose 3MedDRA: Dermatitis contact, Hypersensitivity — Feeling: GoodFree text: Hypersensitivity, contact dermatitis on neck and face.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-12-08
- 2022-03-09
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2022-03-15
Dose 4 — Moderna
- 2022-03-15
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2022-03-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-03-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-03-18
- 2022-03-19
- 2022-03-20
- 2022-03-21
- 2022-03-22
- 2022-03-29
- 2022-04-05
- 2022-04-12
- 2022-04-20
- 2022-04-26
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2022-05-12
Call successfulParticipant prefers to complete VAERS report online
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2022-06-14
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Exposure to SARS-CoV-2, Gastrointestinal disorder, Nausea, SARS-CoV-2 test, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: gastrointestinal disorder - nausea, vomiting, diarrhea starting 6/11/22. Known exposure to two COVID positive people on 6/9/22. Secondary exposure to two COVID positive people on 6/4/22. Antigen negative testing on 6/7/22,6/9/22,6/11/22. PCR pending.MedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Dose 5 — Moderna
- 2022-07-18
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2022-07-19
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-07-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-29
- 2022-10-15
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2022-11-16
Dose 6 — Moderna
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2022-11-16
Survey response — day 0, dose 6MedDRA: Limb discomfort — Feeling: Good · Site: PainFree text: Injection arm feels "heavy"MedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Survey response — days 1–6 daily, dose 6MedDRA: Throat irritation — Feeling: Good · Site: PainFree text: Slight itchy throat (mild)MedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
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2022-11-20
Health check-in — days 1–6 daily, dose 6Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-11-21
Health check-in — days 1–6 daily, dose 6Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-11-22
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
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2022-12-21
Survey response — day 35, dose 6MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold-like symptoms. Headache, sinus congestion, runny nose, sore throat. COVID home test negative. Mask indoors and socially distance.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-28
- 2023-02-15
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
| 4 | 2022-03-15 | Moderna | No |
| 5 | 2022-07-16 | Moderna | No |
| 6 | 2022-11-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-26 | Successful 2022-05-12 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Stomach - not hungry
Systemic reaction (other): Swollen lymph nodes localized to chest/breast
Release 5 — day 21, dose 2
Symptoms: Enlarged cervical lymph nodes - discomfort which I hoped would fully subside but not yet.
Release 6 — day 28, dose 2
Symptoms: Sinusitis. I took at Covid-19 surveillance test on 3/16/2021 and reported back NEGATIVE for SARS-CoV2. Probably allergies.
Release 6 — day 35, dose 2
Symptoms: Sinusitis.
Release 8 — 3 months, dose 2
Symptoms: Still experiencing heavy chest sensation that started 24 hrs after the 2nd jab, right after a very easy swim. Never dropped oxygen saturation but increased resting heart rate. Sensation of heaviness still exists but resolving by taking it easie
Healthcare visit (other): Related and discussed symptoms to MD/colleague
Release 9 — day 7, dose 3
Systemic reaction (other): Swollen tonsils, red, itchy with slight blood sputum
Release 9 — day 14, dose 3
Symptoms: Slight sore throat, slight red/tinge blood in sputum, swollen tonsils
Release 9 — day 21, dose 3
Symptoms: Hypersensitivity, contact dermatitis on neck and face.
Release 12 — 3 months, dose 4
Symptoms: gastrointestinal disorder - nausea, vomiting, diarrhea starting 6/11/22. Known exposure to two COVID positive people on 6/9/22. Secondary exposure to two COVID positive people on 6/4/22. Antigen negative testing on 6/7/22,6/9/22,6/11/22. PCR pending. cut off by CDC
Release 12 — day 0, dose 6
Systemic reaction (other): Injection arm feels "heavy"
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Slight itchy throat (mild)
Release 12 — day 35, dose 6
Symptoms: Cold-like symptoms. Headache, sinus congestion, runny nose, sore throat. COVID home test negative. Mask indoors and socially distance.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dermatitis contact | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Haemoptysis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Tonsillar hypertrophy | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Haemoptysis | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
| SRO | Tonsillar erythema | · | · | ✓ |
| SRO | Tonsillar hypertrophy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release