YGF-14812-46717
3 vaccinations
7 coded responses
34 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 144 / NY
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: GoodFree text: My injection site feels hot to touch but not really painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: GoodFree text: Site warm to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: GoodFree text: Injection Site heatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
- 2021-04-16
-
2021-04-17
Pregnancy registry surveyNot pregnant at or since vaccination ·
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-26
-
2021-11-02
Dose 3 — Pfizer-BioNTech
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Somnolence — Feeling: FairFree text: SleepinessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2021-12-14
Survey response — day 42, dose 3MedDRA: Nausea, Office visit, Viral infection, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nausea, vomiting, x24 hrs, md diagnosed viral · Healthcare visit (other): Regular pmd.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: COVID-19, Colon operation, Colorectal cancer, Hospitalisation, Quarantine — 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 · HospitalizationFree text: Had colorectal surgery for cancerous tumor. Hospitalized. Contracted covid in hospital just prior to discharge. Just finished 20 day quarantine in hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
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 prHospitalization · 1 call case(s)
-
2022-02-02
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-02
Survey response — 12 months, dose 3MedDRA: Death, Intestinal operation, Postoperative thrombosis, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My mother passed away last April from blood clots developed after for a bowel surgery to remove scar tissue from a previous bowel cancer surgery. Unrelated to Covid.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-14 | Successful 2021-12-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-02-01 | Successful 2022-02-02 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My injection site feels hot to touch but not really painful.
Systemic reaction (other): Site warm to touch
Systemic reaction (other): Injection Site heat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sleepiness
Release 10 — day 42, dose 3
Symptoms: Nausea, vomiting, x24 hrs, md diagnosed viral
Healthcare visit (other): Regular pmd.
Release 11 — 3 months, dose 3
Symptoms: Had colorectal surgery for cancerous tumor. Hospitalized. Contracted covid in hospital just prior to discharge. Just finished 20 day quarantine in hospital
Release 12 — 12 months, dose 3
Reports this person's death
Symptoms: My mother passed away last April from blood clots developed after for a bowel surgery to remove scar tissue from a previous bowel cancer surgery. Unrelated to Covid.
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 | Colon operation | · | · | ✓ |
| SD | Colorectal cancer | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Death | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Intestinal operation | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Postoperative thrombosis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release