YH5-23736-70362
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 028 / RI
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-18
- 2021-01-24
-
2021-01-31
Dose 2 — Moderna
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 2MedDRA: Staphylococcal skin 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: Staph aureus infection on same arm as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-05-02
- 2021-07-30
- 2021-08-01
-
2021-10-30
Dose 3 — Pfizer-BioNTech
- 2021-10-30
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-06
- 2021-11-14
-
2021-11-20
Survey response — day 21, dose 3MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose, slight coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: cough, congestion, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-13
- 2022-01-31
-
2022-04-30
Survey response — 6 months, dose 3MedDRA: Dyspnoea, Tachycardia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Shortness of breath and tachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-05-02
-
2022-09-17
Dose 4 — ModernaCo-administered: Flu
- 2022-09-17
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-19
- 2022-09-21
- 2022-09-23
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-19
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-10-30 | Pfizer-BioNTech | No |
| 4 | 2022-09-17 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-14 | Unsuccessful | |
| 2022-04-30 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Release 4 — day 14, dose 2
Symptoms: Staph aureus infection on same arm as injection
Release 10 — day 21, dose 3
Symptoms: Runny nose, slight cough
Release 10 — day 28, dose 3
Symptoms: cough, congestion, sore throat
Release 11 — 6 months, dose 3
Symptoms: Shortness of breath and tachycardia
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 | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Staphylococcal skin infection | ✓ | ✓ | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release