YD8-21059-97474
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 680 / NE
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-18
Registered in v-safe
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2021-01-18
Dose 1 — Moderna
- 2021-01-18
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease, Swelling, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have had a slight feeling of swelling of the left side of my body since the vaccine. I did not think too much about it, but now I have pain similar to pain I had before back surgery. I am not sure if this is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Still have pain on my right side similar to the pain I had before back surgery. I am taking Tylenol and Ibuprofen and that does help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Same symptoms as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 14, dose 1MedDRA: Neuralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nerve painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — day 21, dose 1MedDRA: Neuralgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The nerve pain I started to experience 3 days after the vaccine has continued. I am getting an MRI to help figure out what might be causing the pain. · Healthcare visit (other): MRI scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
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2021-02-18
Dose 2 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-07-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-08 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have had a slight feeling of swelling of the left side of my body since the vaccine. I did not think too much about it, but now I have pain similar to pain I had before back surgery. I am not sure if this is related to the vaccine.
Systemic reaction (other): Still have pain on my right side similar to the pain I had before back surgery. I am taking Tylenol and Ibuprofen and that does help.
Release 2 — day 7, dose 1
Systemic reaction (other): Same symptoms as yesterday.
Release 3 — day 14, dose 1
Symptoms: Nerve pain
Release 3 — day 21, dose 1
Symptoms: The nerve pain I started to experience 3 days after the vaccine has continued. I am getting an MRI to help figure out what might be causing the pain.
Healthcare visit (other): MRI scheduled
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 | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Swelling | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release