YH8-82659-81292
1 vaccination
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 665 / KS
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Every joint hurting and shooting pain throughout my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Alopecia — Feeling: FairFree text: My hair is really falling out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — day 21, dose 1MedDRA: Alopecia — Feeling: GoodFree text: My hair is falling out in clumpsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — day 28, dose 1MedDRA: Alopecia, Fatigue, Rash — Feeling: GoodFree text: I have fatigue that comes and goes. And I continue to lose my hair. I continue also to have rashes that come and goMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-30
Survey response — 6 months, dose 1MedDRA: Fatigue, Feeling abnormal, Insomnia, Office visit, Rash, Sinus disorder, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having a hard time sleeping, still have rashes on and off, there are days when I just dont not feel good for no reason, there are days that Im totally exhausted for no reason. Sinuses are worse than ever. My teeth have been hurting for no reaso · Healthcare visit (other): Dr. DentalMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
- 2021-08-16
- 2022-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-30 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Every joint hurting and shooting pain throughout my body
Release 4 — day 14, dose 1
Symptoms: My hair is really falling out.
Release 4 — day 21, dose 1
Symptoms: My hair is falling out in clumps
Release 4 — day 28, dose 1
Symptoms: I have fatigue that comes and goes. And I continue to lose my hair. I continue also to have rashes that come and go
Release 9 — 6 months, dose 1
Symptoms: Having a hard time sleeping, still have rashes on and off, there are days when I just dont not feel good for no reason, there are days that Im totally exhausted for no reason. Sinuses are worse than ever. My teeth have been hurting for no reaso
Healthcare visit (other): Dr. Dental
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SD | Toothache | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release