YH6-31966-65975
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 305 / GA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin on back tender to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Cluster headache, Medical counselling, Pain — Feeling: Fair · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have never had a migraine or cluster headache, but over night I developed a pounding, severe headache behind my right ear. Resolved after a few hours, but almost worthy of a hospital visit. · Healthcare visit (other): Called my ER nurse mother to ensure I was doing all I could to alleviate the pain 7 of 10 scale.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-12
Dose 2 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-27
- 2021-04-28
- 2021-05-14
- 2021-08-13
-
2021-12-05
Dose 3 — Moderna
- 2021-12-26
-
2022-01-02
Survey response — day 28, dose 3MedDRA: Menstruation delayed — Feeling: FairFree text: Am 6 weeks late for period. Not pregnant. Assume from boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
Survey response — day 35, dose 3MedDRA: Impaired work ability, Oropharyngeal pain, Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat. Assuming sinus infection. Binax now test came back negative. Skipped work because I did not want to risk transmitting while I located The test. Still wearing two medical masks at work just in case.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-06-05
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 | |
| 2021-01-19 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Skin on back tender to touch.
Systemic reaction (other): I have never had a migraine or cluster headache, but over night I developed a pounding, severe headache behind my right ear. Resolved after a few hours, but almost worthy of a hospital visit.
Healthcare visit (other): Called my ER nurse mother to ensure I was doing all I could to alleviate the pain 7 of 10 scale.
Release 10 — day 28, dose 3
Symptoms: Am 6 weeks late for period. Not pregnant. Assume from booster
Release 10 — day 35, dose 3
Symptoms: Sore throat. Assuming sinus infection. Binax now test came back negative. Skipped work because I did not want to risk transmitting while I located The test. Still wearing two medical masks at work just in case.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Pain | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Cluster headache | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release