YG8-15874-98478
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 403 / KY
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
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2020-12-22
Dose 1 — Moderna
- 2020-12-22
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2020-12-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
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2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore throat, nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Nasal congestion and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Joint painsFree text: Sore throat and nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 14, dose 1MedDRA: Hospitalisation, Premature baby, Premature delivery, Premature labour, Pyrexia — Feeling: Poor · Be unable to workFree text: Preterm labor, delivered 22 week gestation baby. I now have fever that is going to be evaluated. I have been admitted since 31 Dec 2020MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
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2021-01-15
Call successfulParticipant prefers to complete VAERS report online
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2021-01-19
Dose 2 — Moderna
- 2021-02-21
- 2021-02-23
- 2021-03-02
- 2021-04-22
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-06 | Successful 2021-01-15 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat, nasal congestion
Systemic reaction (other): Nasal congestion and sore throat
Systemic reaction (other): Sore throat and nasal congestion
Release 1 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 1 — day 14, dose 1
Symptoms: Preterm labor, delivered 22 week gestation baby. I now have fever that is going to be evaluated. I have been admitted since 31 Dec 2020
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 | Hospitalisation | ✓ | · | ✓ |
| SD | Premature baby | ○ | ✓ | ○ |
| SD | Premature delivery | ✓ | ✓ | ✓ |
| SD | Premature labour | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release