YH9-25341-14801
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 452 / OH
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
-
2021-02-05
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Sore injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-21
- 2021-02-28
-
2021-03-05
Dose 2 — Moderna
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-04-11
- 2021-04-18
-
2021-06-06
Survey response — 3 months, dose 2MedDRA: Asthma — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Exercise asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-05
- 2021-09-05
-
2022-03-07
Survey response — 12 months, dose 2MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Flu symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-06 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-07 | Successful 2022-03-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Sore injection arm
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 8 — 3 months, dose 2
Symptoms: Exercise asthma
Release 11 — 12 months, dose 2
Symptoms: Flu symptoms
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release