YGC-38000-38752
5 vaccinations
6 coded responses
49 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Some tenderness only at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Injection site pain, Pain — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I was unable to report my first day symptoms. They were soreness in arm around injection, headache & some body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-10-30
Dose 3 — Moderna
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-06
- 2021-11-14
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: Concussion, Dizziness, Head injury, Office visit, Oropharyngeal pain, Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Fainted & hit my head 6 weeks ago so had a concussion & accompanying dizziness. Also currently have a slight sore throat but may be due to slight cold or allergy. · Healthcare visit (other): All healthcare visits were due to the faint & resulting concussion.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-01
-
2022-04-22
Dose 4 — Moderna
- 2022-04-30
- 2022-04-30
- 2022-05-06
- 2022-05-13
-
2022-05-20
Survey response — day 28, dose 4MedDRA: Gastrointestinal disorder, Gastrointestinal pain — Feeling: FairFree text: Have a stomach issue with seemingly bowel cramping.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-09-19
Dose 5 — Moderna
-
2022-10-06
Survey response — day 14, dose 5MedDRA: Breast tenderness, Fatigue, Tenderness — Feeling: FairFree text: Tenderness on my right side in armpit & around breast. Generally tired.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Survey response — day 21, dose 5MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe stomach cramps.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-29 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Some tenderness only at injection site.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I was unable to report my first day symptoms. They were soreness in arm around injection, headache & some body aches.
Release 11 — 3 months, dose 3
Symptoms: Fainted & hit my head 6 weeks ago so had a concussion & accompanying dizziness. Also currently have a slight sore throat but may be due to slight cold or allergy.
Healthcare visit (other): All healthcare visits were due to the faint & resulting concussion.
Release 11 — day 28, dose 4
Symptoms: Have a stomach issue with seemingly bowel cramping.
Release 12 — day 14, dose 5
Symptoms: Tenderness on my right side in armpit & around breast. Generally tired.
Release 12 — day 21, dose 5
Symptoms: Severe stomach cramps.
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 | Concussion | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Syncope | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Breast tenderness | · | · | ✓ |
| SD | Concussion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release