YEN-27823-02479
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 403 / KY
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
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2021-04-02
Dose 2 — Moderna
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2021-04-03
Registered in v-safe
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Very very dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Dizziness, rash behind ears and continues around neck, this happened after first infection and is still there. Wont go away not sure if this is from the shots but ive had allergy patch tests and no one can figure whst else it might be, so it may be the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Abdominal painAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-11
- 2021-04-16
- 2021-04-25
- 2021-05-01
- 2021-05-07
- 2021-05-15
- 2021-07-06
- 2021-10-07
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2021-11-01
Dose 3 — Moderna
- 2021-11-04
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-15
- 2021-12-11
- 2021-12-15
- 2022-01-31
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a EKG for some chest pains that I've had for years. Before my vaccine, but the EKG said I had abnormal one so that wasn't explained to me but I have to go to also have a stress test. Don't think these things have anything in common but mentioneMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-04
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-02 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very very dizzy
Systemic reaction (other): Dizziness, rash behind ears and continues around neck, this happened after first infection and is still there. Wont go away not sure if this is from the shots but ive had allergy patch tests and no one can figure whst else it might be, so it may be the vaccine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 11 — 6 months, dose 3
Symptoms: I had a EKG for some chest pains that I've had for years. Before my vaccine, but the EKG said I had abnormal one so that wasn't explained to me but I have to go to also have a stress test. Don't think these things have anything in common but mentione cut off by CDC
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 | Pre-existing disease | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release