YG2-23980-60438
4 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 333 / FL
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
-
2021-03-05
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-09
- 2021-03-16
-
2021-03-19
Dose 2 — Moderna
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Gait inability, Headache, Hyperhidrosis, Loss of personal independence in daily activities, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yes, I have been in bed since 3/19 with fever as high as 102.5, sweating through sheets, being unable to move or leave the bed for 2 1/2 days post vaccine. Have had a headache and dizziness sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Positron emission tomogram abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: On my PET scan at (b)(6) 10 days ago, enlarged lymph nodes were seen near right axillaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 2MedDRA: Injection site pruritus, Skin exfoliation, Vaccination site reaction — Feeling: GoodFree text: At the I hue toon site, where I developed covid arm, it is stillItchy and is skin is starting to peelMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-19
- 2021-09-17
-
2021-12-12
Dose 3 — Moderna
-
2022-03-19
Survey response — 12 months, dose 2MedDRA: Cough, Headache, Office visit, Palpitations, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Palpitations, cough, headache · Healthcare visit (other): Drs visit plus Covid pcr testMedDRA releases: 2024-11 · check-in free text available
-
2022-03-19
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-22
-
2022-10-11
Dose 4 — Moderna
- 2022-11-03
-
2022-11-08
Survey response — day 28, dose 4MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lower back painMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-22
- 2023-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
| 4 | 2022-10-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-19 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, I have been in bed since 3/19 with fever as high as 102.5, sweating through sheets, being unable to move or leave the bed for 2 1/2 days post vaccine. Have had a headache and dizziness since
Systemic reaction (other): On my PET scan at (b)(6) 10 days ago, enlarged lymph nodes were seen near right axilla
redacted (b)(6)
Release 7 — day 21, dose 2
Symptoms: At the I hue toon site, where I developed covid arm, it is stillItchy and is skin is starting to peel
Release 11 — 12 months, dose 2
Symptoms: Palpitations, cough, headache
Healthcare visit (other): Drs visit plus Covid pcr test
Release 12 — day 28, dose 4
Symptoms: Lower back pain
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 | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gait inability | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Positron emission tomogram | ○ | ○ | ○ |
| SRO | Positron emission tomogram abnormal | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ○ | ○ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release