YGM-12395-32659
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 727 / AR
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
-
2021-04-17
Survey response — day 21, dose 1MedDRA: Cough, Nasal congestion, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough congestion and a stuffy/runny nose. But I believe this is allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache at the base of my head in the back for about a day and a half.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
-
2021-05-29
Survey response — day 35, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sinus disorder, Throat irritation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever, sore and burning throat and sinuses, very runny nose, painful cough, extreme tiredness and felt like someone had me in a bear hug and I had to force breath air in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
-
2021-07-24
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Cough, Fatigue, Malaise — Feeling: GoodFree text: Extreme tiredness, dry cough and stomach pain for 2 weeks. This has happened a couple times. Id be sick for 2 weeks than Good for a week. I am now ok for 2 weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-23
-
2022-04-24
Survey response — 12 months, dose 2MedDRA: Pharyngitis streptococcal — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had strep throat for the first time in 17 yearsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-24
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-24 | Successful 2022-04-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): None
Release 7 — day 21, dose 1
Symptoms: Cough congestion and a stuffy/runny nose. But I believe this is allergies.
Release 8 — day 21, dose 2
Symptoms: Headache at the base of my head in the back for about a day and a half.
Release 8 — day 35, dose 2
Symptoms: Fever, sore and burning throat and sinuses, very runny nose, painful cough, extreme tiredness and felt like someone had me in a bear hug and I had to force breath air in.
Release 9 — 3 months, dose 2
Symptoms: Extreme tiredness, dry cough and stomach pain for 2 weeks. This has happened a couple times. Id be sick for 2 weeks than Good for a week. I am now ok for 2 weeks.
Release 11 — 12 months, dose 2
Symptoms: I had strep throat for the first time in 17 years
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 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release