YGV-12726-83476
4 vaccinations
6 coded responses
28 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 488 / MI
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
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2021-01-11
Survey response — day 7, dose 1MedDRA: Injection site warmth — Feeling: Fair · Site: Redness, Swelling, Itching · HeadacheFree text: My injection site is very hotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-02-01
Dose 2 — Moderna
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Hyperaesthesia teeth, Pain in jaw — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: All my teeth are sensitive and my jaw hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, NauseaAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, NauseaAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
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2021-08-02
Survey response — 6 months, dose 2MedDRA: General physical health deterioration, Infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have an asymptomatic infection that is shutting my body down · Healthcare visit (other): I saw my PCPMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
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2021-11-18
Dose 3 — ModernaCo-administered: Flu
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
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2021-12-09
Survey response — day 21, dose 3MedDRA: Unevaluable event, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My white blood count is really high, now. October 26 it was normal at 10.3, now it's 14.5. · Healthcare visit (other): I have to go to the hematologistMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-13
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2021-12-16
Survey response — day 28, dose 3MedDRA: Unevaluable event, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My WBC is really high. It was normal at the end of October and spiked again when it was checked 2 weeks ago · Healthcare visit (other): I have to see my hematologist againMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-19
- 2021-12-30
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2022-02-17
Survey response — 3 months, dose 3MedDRA: Hypothyroidism — Feeling: FairFree text: Hypothyroidism diagnosisMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
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2022-07-08
Dose 4 — Moderna
- 2022-10-07
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-18 | Moderna | Flu |
| 4 | 2022-07-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-02 | Unsuccessful | |
| 2021-12-09 | Unsuccessful | |
| 2021-12-16 | Unsuccessful |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): My injection site is very hot
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): All my teeth are sensitive and my jaw hurts
Release 9 — 6 months, dose 2
Symptoms: I have an asymptomatic infection that is shutting my body down
Healthcare visit (other): I saw my PCP
Release 10 — day 21, dose 3
Symptoms: My white blood count is really high, now. October 26 it was normal at 10.3, now it's 14.5.
Healthcare visit (other): I have to go to the hematologist
Release 10 — day 28, dose 3
Symptoms: My WBC is really high. It was normal at the end of October and spiked again when it was checked 2 weeks ago
Healthcare visit (other): I have to see my hematologist again
Release 11 — 3 months, dose 3
Symptoms: Hypothyroidism diagnosis
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 | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | General physical health deterioration | ✓ | · | ✓ |
| SD | Hypothyroidism | · | · | ✓ |
| SD | Infection | ✓ | · | ✓ |
| SD | White blood cell count increased | · | · | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release