YEX-69539-55979
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 933 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: GoodFree text: Noticeable but slight Pain at injection site and sore/stiff arm about 1 week after injection returned 8 days after injection for a couple days. Initially site pain/stiffness went away within 3 to 4 days after injection. Weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
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2021-02-18
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Slight dizziness/woozyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workFree text: Skin sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness · HeadacheFree text: Slight dizziness early in dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Odd taste in my mouth. Some food items tadte "offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Muscle twitching — Feeling: Good · HeadacheFree text: Facial muscle twitch. Dont really think it's related but have had for a coiple of daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-05-20
Survey response — 3 months, dose 2MedDRA: Office visit, Pinguecula — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed a pinguecula in my eye (I don't really think it's related to the vaccine) · Healthcare visit (other): Primary care doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
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2022-02-18
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Fatigue, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Covid-felt like a mild cold for 2 days (primarily cough and runny/stuffy nose). All symptoms gone prior to booster on 1/14/22. Then cough returned about 3 days later and had noticeable fatigue for a couple weeks.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
-
2022-05-20
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Successful 2022-05-20 |
Completed over the phone |
Free text
Release 3 — day 14, dose 1
Symptoms: Noticeable but slight Pain at injection site and sore/stiff arm about 1 week after injection returned 8 days after injection for a couple days. Initially site pain/stiffness went away within 3 to 4 days after injection. Weird.
Release 4 — day 0, dose 2
Systemic reaction (other): Slight dizziness/woozy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Skin sensitivity
Systemic reaction (other): Slight dizziness early in day
Systemic reaction (other): Odd taste in my mouth. Some food items tadte "off
Systemic reaction (other): Facial muscle twitch. Dont really think it's related but have had for a coiple of days
Release 8 — 3 months, dose 2
Symptoms: Developed a pinguecula in my eye (I don't really think it's related to the vaccine)
Healthcare visit (other): Primary care doctor
Release 11 — 12 months, dose 2
Symptoms: Covid-felt like a mild cold for 2 days (primarily cough and runny/stuffy nose). All symptoms gone prior to booster on 1/14/22. Then cough returned about 3 days later and had noticeable fatigue for a couple weeks.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pinguecula | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release