YGJ-64285-36854
4 vaccinations
9 coded responses
32 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: All aches were in the arm where I got the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 21, dose 1MedDRA: Dysgeusia — Feeling: GoodFree text: Metallic taste in mouth, off and on for a little over a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Metallic tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Yesterday night I had heavy fatigue - gone this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-03
Survey response — day 28, dose 2MedDRA: Fatigue, Respiratory tract congestion, Throat irritation — Feeling: FairFree text: I have a scratchy throat, congestion, fatigue. I think this is from spring pollen allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-10-31
Dose 3 — Moderna
-
2022-04-05
Survey response — 12 months, dose 2MedDRA: Office visit, Osteopenia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Osteopenia · Healthcare visit (other): Primary care visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
-
2022-04-10
Dose 4 — Moderna
- 2022-05-01
- 2022-05-08
-
2022-05-17
Survey response — day 35, dose 4MedDRA: Cough, Laryngitis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Sore throat, low fever, laryngitis, cough, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Survey response — day 42, dose 4MedDRA: Cough, Laryngitis, Oropharyngeal pain, Pyrexia — Feeling: GoodFree text: low grade fever for 3 d; Sore throat, laryngitis, cough - total 2 wMedDRA releases: 2024-11 · check-in free text available
-
2022-07-10
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Low grade fever, fatigue, shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-05 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): All aches were in the arm where I got the vaccination
Release 6 — day 21, dose 1
Symptoms: Metallic taste in mouth, off and on for a little over a week.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste
Systemic reaction (other): Yesterday night I had heavy fatigue - gone this morning.
Release 8 — day 28, dose 2
Symptoms: I have a scratchy throat, congestion, fatigue. I think this is from spring pollen allergies.
Release 11 — 12 months, dose 2
Release 11 — day 35, dose 4
Symptoms: Sore throat, low fever, laryngitis, cough, congestion
Release 11 — day 42, dose 4
Symptoms: low grade fever for 3 d; Sore throat, laryngitis, cough - total 2 w
Release 12 — 3 months, dose 4
Symptoms: Low grade fever, fatigue, shortness of breath
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 | Cough | · | · | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Osteopenia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release