YH7-32170-47191
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Poor · Fever · Headache · Be unable to do your normal daily activitiesFree text: StuffyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-12
- 2021-02-17
- 2021-02-24
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling in armpit same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Bone pain, Headache, Oedema peripheral, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness, NauseaFree text: My left armpit is swollen and sore. Same side as shot. Sore and swollen collar bone. Ice pick headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-03
- 2021-03-04
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: Low grade fever on and off at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 28, dose 2MedDRA: Condition aggravated, Confusional state, Dizziness, Dystonia, Mental disorder, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: My dystonia and mental illness medications seem to be stronger... making me dizzy, confused, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Dyspnoea, Office visit, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: sinus infection + significant problems with breathing when sleeping+ vomitting. spoke to my muscular-neurologist, general practitioner and psychiatrist. Doctor suggestions: allergy to Augmentin? reaction to TriHexyphen? need Cpap? other corona strain · Healthcare visit (other): general practitionerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Brachioradial pruritus — Feeling: FairFree text: Brachioradial pruritus on the arm where I got the vaccine shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-25
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling in armpit same side as shot
Systemic reaction (other): My left armpit is swollen and sore. Same side as shot. Sore and swollen collar bone. Ice pick headaches.
Release 5 — day 14, dose 2
Symptoms: Low grade fever on and off at night
Release 6 — day 28, dose 2
Symptoms: My dystonia and mental illness medications seem to be stronger... making me dizzy, confused, etc.
Release 7 — day 42, dose 2
Symptoms: sinus infection + significant problems with breathing when sleeping+ vomitting. spoke to my muscular-neurologist, general practitioner and psychiatrist. Doctor suggestions: allergy to Augmentin? reaction to TriHexyphen? need Cpap? other corona strain cut off by CDC
Healthcare visit (other): general practitioner
Release 9 — 6 months, dose 2
Symptoms: Brachioradial pruritus on the arm where I got the vaccine shot.
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 | Brachioradial pruritus | ✓ | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dystonia | ✓ | ✓ | ○ |
| SD | Mental disorder | ✓ | ✓ | ○ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release