YDG-81085-76691
3 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Registered in v-safe
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-06-03
Survey response — day 35, dose 2MedDRA: Dizziness, Ophthalmic migraine — Feeling: FairFree text: Because on the whole I feel good, I didnt think to add that since I had my shot I have had bouts of occasional dizziness and two ocular migraines, both of which are new to me. No clue if related to shots. They are short and infrequent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
-
2021-11-02
Dose 3 — Moderna
-
2021-11-13
Survey response — day 7, dose 3MedDRA: Contusion, Erythema, Pain — Feeling: GoodFree text: Note: had the worst pain and redness from this booster 48 hrs after and still have a bruise there, but now feel okMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-08
- 2021-12-14
- 2022-02-01
-
2022-05-05
Survey response — 6 months, dose 3MedDRA: Dizziness, Pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: aches and pains chronic and sometimes really bad. No diagnosis yet. Dizziness.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-05-06
Call successfulCompleted over the phone
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-05 | Successful 2022-05-06 |
Completed over the phone |
Free text
Release 8 — day 35, dose 2
Symptoms: Because on the whole I feel good, I didnt think to add that since I had my shot I have had bouts of occasional dizziness and two ocular migraines, both of which are new to me. No clue if related to shots. They are short and infrequent.
Release 10 — day 7, dose 3
Systemic reaction (other): Note: had the worst pain and redness from this booster 48 hrs after and still have a bruise there, but now feel ok
Release 11 — 6 months, dose 3
Symptoms: aches and pains chronic and sometimes really bad. No diagnosis yet. Dizziness.
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 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release