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YGR-28366-03539

3 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
785 / TX
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I forgot to log in the first couple days. It was way worse day after shot. But I would do it again!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Not sure if its from the vaccine or cycle due.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness
    Free text: Only sore when I touch it or move arm all around
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Itching · Headache
    Free text: Site just looks a little bruised now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  8. 2021-02-20
    Survey response — day 14, dose 1
    MedDRA: Erythema, Pruritus, Skin discolouration — Feeling: Good
    Free text: On Saturday my arm got really red and super itchy again. Was weird bc it went away for a couple of days. Now it seems fine, not itchy or red but skin looks a little purple almost.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Dose 2 — Moderna
  11. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Was too sick to add info yesterday. Much better today. Fever broke yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Gastric disorder — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I didnt realize the tummy issues yesterday were probably from the shot. Went on through today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  14. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-03-14
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-03-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-17
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches but I didnt think its from the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-07
    Survey response — 3 months, dose 2
    MedDRA: Headache, Office visit, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Tmj stuff which could be soommee of the cause of my headaches but idk · Healthcare visit (other): Tmj specialist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-07
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-09-05
  26. 2021-09-10
  27. 2021-12-02
    Dose 3 — Moderna
  28. 2022-03-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-05
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-05Moderna
32021-12-02Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-07 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): I forgot to log in the first couple days. It was way worse day after shot. But I would do it again!

2021-02-10

Systemic reaction (other): Not sure if its from the vaccine or cycle due.

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Only sore when I touch it or move arm all around

2021-02-12

Systemic reaction (other): Site just looks a little bruised now

Release 4 — day 14, dose 1

2021-02-20

Symptoms: On Saturday my arm got really red and super itchy again. Was weird bc it went away for a couple of days. Now it seems fine, not itchy or red but skin looks a little purple almost.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Was too sick to add info yesterday. Much better today. Fever broke yesterday.

2021-03-08

Systemic reaction (other): I didnt realize the tummy issues yesterday were probably from the shot. Went on through today.

Release 7 — day 42, dose 2

2021-04-17

Symptoms: Headaches but I didnt think its from the injection

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Tmj stuff which could be soommee of the cause of my headaches but idk
Healthcare visit (other): Tmj specialist.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin discolouration ✓ ✓ ✓
SROAbdominal discomfort ○ ✓ ○
SROGastric disorder ✓ · ✓
SROInjection site bruising ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release