YGP-28908-58584
5 vaccinations
6 coded responses
38 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
-
2021-03-13
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: GoodFree text: Itchy eyes for several days now; not sure if it is related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: GoodFree text: Slight itchy ness in eyes but less than previous daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Survey response — day 28, dose 2MedDRA: Arthralgia, Condition aggravated, Neuralgia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Preexisting problem with my back has worsened and its causing nerve pain in my left hip and leg. I believe it was precipitated by too much time spent gardening and is not vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-11-22
Dose 3 — Pfizer-BioNTech
-
2022-04-08
Dose 4 — Pfizer-BioNTech
-
2022-04-10
Survey response — 12 months, dose 2MedDRA: Nerve compression, Spinal operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Pressure on nerves and spinal cord in back leading to major back surgery in January. I am recovering well.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-04-12
- 2022-05-03
- 2022-05-06
-
2022-05-13
Survey response — day 35, dose 4MedDRA: Muscular weakness, Spinal operation — Feeling: GoodFree text: Weakness in one leg related to recent back surgery.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-07-08
-
2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-10-08
- 2022-10-08
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-12-16
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2023-03-17
Survey response — 6 months, dose 5MedDRA: COVID-19, Cough, Dysphonia, Fatigue, Nausea, Post-acute COVID-19 syndrome, Pyrexia, Sinus congestion, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-17
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-20
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-22 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-10 | Unsuccessful | |
| 2023-03-17 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy eyes for several days now; not sure if it is related.
Systemic reaction (other): Slight itchy ness in eyes but less than previous days
Release 8 — day 28, dose 2
Symptoms: Preexisting problem with my back has worsened and its causing nerve pain in my left hip and leg. I believe it was precipitated by too much time spent gardening and is not vaccine related.
Release 11 — 12 months, dose 2
Symptoms: Pressure on nerves and spinal cord in back leading to major back surgery in January. I am recovering well.
Release 11 — day 35, dose 4
Symptoms: Weakness in one leg related to recent back surgery.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Spinal operation | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release