YGY-10276-41485
5 vaccinations
5 coded responses
40 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 975 / OR
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
-
2021-03-10
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Pain, Pyrexia, SARS-CoV-2 test negative, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Some fever, body aches and sinus problems. Got a covid test yesterday and it was negative. Did a PCR TEST today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-07-14
Survey response — 3 months, dose 2MedDRA: Bacterial infection, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: unrelated to Covid - I had a UTI with no symptoms develop into a bacterial infection of the blood last Thursday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-14
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test negative, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Nothing related to Covid. Test was negative. I had a UTI with no symptoms that was quickly becoming a worry once discovered.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-14
-
2021-10-29
Dose 3 — Moderna
-
2022-04-04
Dose 4 — Moderna
- 2022-04-14
- 2022-04-26
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-07-04
-
2022-10-01
Dose 5 — Moderna
- 2022-10-03
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
-
2022-11-05
Survey response — day 35, dose 5MedDRA: COVID-19, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I came down with Covid one week ago. I did a home test.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-10-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | Unsuccessful | |
| 2021-07-14 | Unsuccessful | |
| 2021-10-13 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 6 — day 21, dose 1
Symptoms: Some fever, body aches and sinus problems. Got a covid test yesterday and it was negative. Did a PCR TEST today.
Release 9 — 3 months, dose 2
Symptoms: unrelated to Covid - I had a UTI with no symptoms develop into a bacterial infection of the blood last Thursday.
Release 10 — 6 months, dose 2
Symptoms: Nothing related to Covid. Test was negative. I had a UTI with no symptoms that was quickly becoming a worry once discovered.
Release 12 — day 35, dose 5
Symptoms: I came down with Covid one week ago. I did a home test.
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 | Bacterial infection | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release