YEJ-17048-65354
4 vaccinations
4 coded responses
42 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 288 / NC
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Generalized relief and recurring fantasies about eating in a restaurant againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-25
- 2021-04-30
- 2021-05-07
- 2021-05-15
- 2021-07-02
- 2021-10-01
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Nausea, Pyrexia, Thirst — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: 18 hours post-injection I felt very thirsty so I got out of bed and went to the refrigerator to get cold water. Was suddenly struck by intense feeling of fever, nausea, and dizziness. I leaned on a ledge and next thing I knew I was on the floorMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I have preexisting back and shoulder issues that account for at least part of the aches and pains; these seem somewhat aggravated but it's impossible to tell if the vaccine is linked to that.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-24
- 2021-11-30
- 2021-12-07
- 2022-01-26
-
2022-04-05
Dose 4 — Moderna
- 2022-04-20
- 2022-04-27
- 2022-05-03
- 2022-05-10
- 2022-05-17
-
2022-07-05
Survey response — 3 months, dose 4MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back pain not Covid-relatedMedDRA releases: 2024-11 · check-in free text available
-
2022-07-05
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-05 | Successful 2022-07-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Generalized relief and recurring fantasies about eating in a restaurant again
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 18 hours post-injection I felt very thirsty so I got out of bed and went to the refrigerator to get cold water. Was suddenly struck by intense feeling of fever, nausea, and dizziness. I leaned on a ledge and next thing I knew I was on the floor
Systemic reaction (other): I have preexisting back and shoulder issues that account for at least part of the aches and pains; these seem somewhat aggravated but it's impossible to tell if the vaccine is linked to that.
Release 12 — 3 months, dose 4
Symptoms: Back pain not Covid-related
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 | Back pain | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release