YGR-26368-31724
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 537 / WI
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: I had a dizziness or feeling like being on a boat in the first 24 hours or so after the second vaccination that I neglected to report.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Food stuck in esophagus. Waiting in ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — day 35, dose 2MedDRA: Oesophageal food impaction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Unrelated to vaccine. Food stuck in esophagusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-06-11
-
2021-09-10
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Dizziness, Oesophageal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I dont remember the date of my last check in. I had esophagus issues which resulted in being prescribed a proton pump inhibitor. I have had increased dizziness and the prescription caused diarrhea, and great stomach pain. I stopped taking the scriMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
-
2021-10-26
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: I experienced many more Health conditions starting at 12 hours after vaccination time. Vsafe did not recognize my first name to report earlier.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-15
Dose 4 — Moderna
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: A little dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-21
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-16 | Unsuccessful | |
| 2021-09-10 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Headache
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had a dizziness or feeling like being on a boat in the first 24 hours or so after the second vaccination that I neglected to report.
Release 7 — day 28, dose 2
Symptoms: Food stuck in esophagus. Waiting in ER
Release 7 — day 35, dose 2
Symptoms: Unrelated to vaccine. Food stuck in esophagus
Release 9 — 6 months, dose 2
Symptoms: I dont remember the date of my last check in. I had esophagus issues which resulted in being prescribed a proton pump inhibitor. I have had increased dizziness and the prescription caused diarrhea, and great stomach pain. I stopped taking the scri
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I experienced many more Health conditions starting at 12 hours after vaccination time. Vsafe did not recognize my first name to report earlier.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): A little dizziness
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 | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oesophageal disorder | · | · | ✓ |
| SD | Oesophageal food impaction | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release