YGG-96794-00674
4 vaccinations
11 coded responses
47 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-03-03
- 2021-03-08
- 2021-03-14
- 2021-03-21
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-01
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2021-04-03
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-09
- 2021-04-17
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
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2021-11-11
Dose 3 — Moderna
- 2021-11-11
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Autoscopy, Feeling abnormal, Injection site pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Itchy injection site, feeling of floating on air or out of body experienceMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea, Rash, not including the immediate area around the injection siteFree text: Big Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: Good · Site: Itching · Joint pains, Fatigue or tirednessFree text: Big Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — day 7, dose 3MedDRA: Injection site bruising — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Big Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-17
- 2021-12-24
- 2022-02-10
-
2022-05-11
Dose 4 — Moderna
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Arthralgia, Cough, Headache, Myalgia, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain, headache, joint pains, muscle ache, sore throat. Cough, runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-15
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2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Fatigue or tirednessFree text: Sore throat, runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Good · Site: SwellingFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — day 7, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Swelling · Muscle or body achesFree text: Sore Throat, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-08
- 2022-06-16
- 2022-06-24
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2022-08-10
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2, Rash pruritic, SARS-CoV-2 test positive, Self-medication — 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 consultationFree text: Symptoms: I tested positive for COVID-19 on July 19, 2022 three days after my husband tested positive. Then my 2 kids tested positive too. All of us were symptomatic. My husband and I are exhibiting itchy rashes even at this time. · Healthcare visit (other): Self medication.MedDRA releases: 2024-11 · check-in free text available
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2022-08-10
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
- 2022-08-12
-
2022-11-09
Survey response — 6 months, dose 4MedDRA: Chills, Malaise — Feeling: GoodFree text: Chills, malaiseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-10 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itchy injection site, feeling of floating on air or out of body experience
Systemic reaction (other): Big Bruise at injection site
Systemic reaction (other): Big Bruise at injection site
Release 10 — day 7, dose 3
Systemic reaction (other): Big Bruise at injection site
Release 11 — 6 months, dose 3
Symptoms: Pain, headache, joint pains, muscle ache, sore throat. Cough, runny nose
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Cough, runny nose, sore throat
Systemic reaction (other): Sore throat, runny nose
Systemic reaction (other): Sore throat
Release 11 — day 7, dose 4
Systemic reaction (other): Sore Throat, cough
Release 12 — 3 months, dose 4
Symptoms: I tested positive for COVID-19 on July 19, 2022 three days after my husband tested positive. Then my 2 kids tested positive too. All of us were symptomatic. My husband and I are exhibiting itchy rashes even at this time.
Healthcare visit (other): Self medication.
Release 12 — 6 months, dose 4
Symptoms: Chills, malaise
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 | Self-medication | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Autoscopy | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release