YGJ-30235-44357
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-02-11
Registered in v-safe
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2021-02-11
Dose 1 — Moderna
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Malaise, Nausea, Vomiting — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Yesterday evening about three hours after I had had a shot I was really ill with some vomiting and nausea. I had some Zofran which I took and I went to sleep for an hour and slept moderately through the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2021-02-18
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-03-04
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2021-03-11
Survey response — day 28, dose 1MedDRA: Cough — Feeling: FairFree text: Coughing a lot but I have allergies in the spring in Texas so I am assuming thats what it is next Tuesday I am going to my own doctor for a check up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Dose 2 — Moderna
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site swelling, Pain in extremity, Tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling at injection site. Pain down my arm. Cannot lie on arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The rash around it in sections so it is not small it measures about 5 inches across and aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The rash from the area around the injection site has increased in size all the way down to my elbow today and around the back of my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-18
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site irritation — Feeling: Good · Site: Swelling, ItchingFree text: Injection site was more irritable today than it was yesterday!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
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2021-03-27
Survey response — day 14, dose 2MedDRA: Pruritus — Feeling: FairFree text: My entire shoulder and arm below the elbow will not stop itching on the right arm where they did the shot. I am assuming theres nothing I can do about it except it gets very itchy!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-13
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2021-09-11
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Malaise, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I already had a first-degree heart block from a viral infection 15 years ago. But it read its ugly head again in the last 2 1/2 or three months. Nobody can really decide if it is the Covid vaccine because I definitely wasnt very well. · Healthcare visit (other): I was already under the care of my cardiologist so he was the one who took care of me this time. I seem to be fine nowMedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
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2021-09-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-11 | Successful 2021-09-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday evening about three hours after I had had a shot I was really ill with some vomiting and nausea. I had some Zofran which I took and I went to sleep for an hour and slept moderately through the night
Release 5 — day 28, dose 1
Symptoms: Coughing a lot but I have allergies in the spring in Texas so I am assuming thats what it is next Tuesday I am going to my own doctor for a check up.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling at injection site. Pain down my arm. Cannot lie on arm.
Systemic reaction (other): The rash around it in sections so it is not small it measures about 5 inches across and around
Systemic reaction (other): The rash from the area around the injection site has increased in size all the way down to my elbow today and around the back of my arm
Systemic reaction (other): Injection site was more irritable today than it was yesterday!
Release 6 — day 14, dose 2
Symptoms: My entire shoulder and arm below the elbow will not stop itching on the right arm where they did the shot. I am assuming theres nothing I can do about it except it gets very itchy!
Release 9 — 6 months, dose 2
Symptoms: I already had a first-degree heart block from a viral infection 15 years ago. But it read its ugly head again in the last 2 1/2 or three months. Nobody can really decide if it is the Covid vaccine because I definitely wasnt very well.
Healthcare visit (other): I was already under the care of my cardiologist so he was the one who took care of me this time. I seem to be fine now
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 | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site irritation | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release