YDT-26555-81299
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
-
2021-01-18
Health check-in — day 0, dose 1Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-19
- 2021-01-21
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-02
- 2021-02-10
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-03-01
Survey response — day 14, dose 2MedDRA: Arthralgia, Injected limb mobility decreased, Pain, Paraesthesia, Self-medication — Feeling: GoodFree text: Left shoulder (injected arm) randomly started tingling and feeling sore Sat 2/27 at 6pm. Pain became worse, couldnt lift arm so I took 1 Tylenol. The next day, arm felt better w/ no issues since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-17
- 2021-03-22
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Dizziness, Headache, Vertigo — Feeling: GoodFree text: The last couple of days, I had mild headaches. A day later, I experienced a random episode of dizziness/vertigo while I was walking at work. It lasted about 2 mins. I drank bottle of water and ate something light. Took it easy rest of day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-08-16
-
2021-11-09
Dose 3 — Moderna
-
2022-02-15
Survey response — 12 months, dose 2MedDRA: Bronchitis, Cough, Dyspnoea, Influenza, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinusitis — Feeling: Poor · Be unable to work or attend school, 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: Jan 2-8, 2022- tested positive for Covid. Mild symptoms. Continued shortness of breath Jan 31- Severe flu, bronchitis, sinus infection. Tested negative for Covid (PCR and rapid) 2x within 2 days 2/15-still recovering w/cough & shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 | |
| 2022-02-15 | Successful 2022-02-22 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 14, dose 2
Symptoms: Left shoulder (injected arm) randomly started tingling and feeling sore Sat 2/27 at 6pm. Pain became worse, couldnt lift arm so I took 1 Tylenol. The next day, arm felt better w/ no issues since.
Release 6 — day 42, dose 2
Symptoms: The last couple of days, I had mild headaches. A day later, I experienced a random episode of dizziness/vertigo while I was walking at work. It lasted about 2 mins. I drank bottle of water and ate something light. Took it easy rest of day.
Release 11 — 12 months, dose 2
Symptoms: Jan 2-8, 2022- tested positive for Covid. Mild symptoms. Continued shortness of breath Jan 31- Severe flu, bronchitis, sinus infection. Tested negative for Covid (PCR and rapid) 2x within 2 days 2/15-still recovering w/cough & shortness of breath
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release