YGS-27421-23715
4 vaccinations
7 coded responses
51 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 141 / NY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Office visit, Vertigo positional — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Benign paroxysmal positional vertigo. Began about 6 weeks ago. I don't think there is any correlation to the vaccine or COVID in general. · Healthcare visit (other): Had a few Epley manuevers performed by a chiropractorMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Fatigue or tiredness, NauseaFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
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2021-11-04
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes are still swollen under shot arm off and on. andMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
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2021-11-18
Survey response — day 21, dose 3MedDRA: Dyspnoea, Fatigue — Feeling: FairFree text: Fatigue, mild shortness of breath. I don't think these symptoms are because of the shot.MedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — day 28, dose 3MedDRA: Fatigue, Palpitations — Feeling: FairFree text: Heart palpitations, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-09-07
Dose 4 — Moderna
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2022-09-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-09-09
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-09-12
- 2022-09-16
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
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2022-12-07
Survey response — 3 months, dose 4MedDRA: Fatigue, Pain, Throat irritation — Feeling: FairFree text: I think it's just a cold-scratchy throat, body aches, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-19 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Benign paroxysmal positional vertigo. Began about 6 weeks ago. I don't think there is any correlation to the vaccine or COVID in general.
Healthcare visit (other): Had a few Epley manuevers performed by a chiropractor
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Lymph node swelling
Release 10 — day 7, dose 3
Systemic reaction (other): Lymph nodes are still swollen under shot arm off and on. and
Release 10 — day 21, dose 3
Symptoms: Fatigue, mild shortness of breath. I don't think these symptoms are because of the shot.
Release 10 — day 28, dose 3
Symptoms: Heart palpitations, fatigue
Release 12 — 3 months, dose 4
Symptoms: I think it's just a cold-scratchy throat, body aches, fatigue.
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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vertigo positional | ✓ | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release