YHD-25283-72804
6 vaccinations
4 coded responses
74 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 335 / FL
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
-
2021-09-29
Survey response — 6 months, dose 2MedDRA: Discharge, Medical observation, Nasal congestion, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat and nasal congestion, drainage for about 1 week · Healthcare visit (other): Seen by my primary care person while in my car in doctors parking lotMedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-12
Dose 3 — Moderna
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2021-12-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
-
2022-05-04
Survey response — day 14, dose 4MedDRA: Bronchial irritation, Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms-nasal congestion, drainage, mild sore throat, for 2 days, then more bronchial irritation, cough from drainage. Drainage has remained clear throughout.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-06-01
- 2022-07-20
- 2022-10-19
-
2022-11-09
Dose 5 — Moderna
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
-
2022-12-14
Survey response — day 35, dose 5MedDRA: Cough, Fatigue, Nasopharyngitis, Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms-sinus congestion, runny nose, fatigue, mild cough from post-nasal drip for last 3 days. No fever, no other symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-21
- 2023-02-08
-
2023-05-03
Dose 6 — Moderna
- 2023-05-08
- 2023-05-09
- 2023-05-10
-
2023-05-17
Survey response — day 14, dose 6MedDRA: Abdominal discomfort, Asthenia, Cold sweat, Decreased appetite, Hypersomnia, Hypoglycaemia, Nausea, Tremor — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-24
- 2023-05-31
- 2023-06-07
- 2023-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-11-09 | Moderna | No |
| 6 | 2023-05-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-29 | Successful 2021-12-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Sore throat and nasal congestion, drainage for about 1 week
Healthcare visit (other): Seen by my primary care person while in my car in doctors parking lot
Release 11 — day 14, dose 4
Symptoms: Cold symptoms-nasal congestion, drainage, mild sore throat, for 2 days, then more bronchial irritation, cough from drainage. Drainage has remained clear throughout.
Release 12 — day 35, dose 5
Symptoms: Cold symptoms-sinus congestion, runny nose, fatigue, mild cough from post-nasal drip for last 3 days. No fever, no other 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 |
|---|---|---|---|---|
| HCVO | Medical observation | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Bronchial irritation | · | · | ✓ |
| SD | Cold sweat | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Hypoglycaemia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release