YD4-24913-10649
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 930 / CA
- Registered
- 2021-05-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-07
Dose 1 — Moderna
-
2021-05-29
Registered in v-safe
- 2021-05-29
-
2021-06-18
Dose 2 — Moderna
-
2021-06-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-06-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-06-23
- 2021-06-24
- 2021-06-27
-
2021-07-03
Survey response — day 14, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: GoodFree text: I experienced tonsil pain on left side and general fatigue. The symptoms lasted 2.5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — day 21, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have been experiencing vertigo since Jul. 5.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-15
-
2021-07-16
Survey response — day 28, dose 2MedDRA: Muscle twitching, Office visit, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo has continued since July 5, but has become intermittent. Intermittent muscle twitching in different parts of torso, left lower arm and both legs began July 7, 2021. No pain associated with muscle twitching. · Healthcare visit (other): In person visit with PCP.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-07-23
- 2021-09-19
-
2022-06-20
Survey response — 12 months, dose 2MedDRA: Urticaria — Feeling: GoodFree text: Intermittent hives that began April 2022.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-09 | Unsuccessful | |
| 2021-07-16 | Unsuccessful |
Free text
Release 9 — day 14, dose 2
Symptoms: I experienced tonsil pain on left side and general fatigue. The symptoms lasted 2.5 days.
Release 9 — day 21, dose 2
Symptoms: I have been experiencing vertigo since Jul. 5.
Release 9 — day 28, dose 2
Symptoms: Vertigo has continued since July 5, but has become intermittent. Intermittent muscle twitching in different parts of torso, left lower arm and both legs began July 7, 2021. No pain associated with muscle twitching.
Healthcare visit (other): In person visit with PCP.
Release 12 — 12 months, dose 2
Symptoms: Intermittent hives that began April 2022.
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 | Office visit | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release