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YHG-33145-98615

4 vaccinations 11 coded responses 35 check-ins 11 free-text entries 5 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
301 / GA
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Dont really feel good good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Really give out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Poor · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Feel like crap. Been in bed for 2 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Hypersomnia — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Sleeping all day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: My arm I received the shot in become red in the area of the shot to the size of a half dollar. My arm swelled and was red all coming down my arm. This all happen a week and a half After my shot. My Dr has put me on medication for a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-12
    Dose 2 — Moderna
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Free text: Very bad headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  19. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-27
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Very tried
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Lip and/or oral cavity cancer, Lymphadenectomy, Oral surgery — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had oral cancer and had to have surgery and 18 lymph nodes removed from my neck.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-09-26
    Dose 3 — Moderna
  29. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  30. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-28
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  33. 2022-03-27
    Survey response — 6 months, dose 3
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tightly in my chest and losing my breath
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-03-27
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2022-03-29
  36. 2022-04-11
    Dose 4 — Moderna
  37. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  38. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  39. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  40. 2022-04-25
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  41. 2022-05-02
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  42. 2022-05-13
    Survey response — day 28, dose 4
    MedDRA: COVID-19, Neoplasm malignant, Tongue cancer metastatic — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: This didn't just happen but in Dec I got covid and didnt feel better till Feb. I had tongue cancer last May and my scan i had done the first of Dec was good but after covid I had another scan and the cancer was in my neck. All I thought was covid!!
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-13
    Report sent to call center — day 28, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2022-05-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-05-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2022-05-25
    Survey response — day 42, dose 4
    MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: My cancer is back · Healthcare visit (other): Cancer center
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-05-25
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  49. 2022-05-26
  50. 2022-05-26
  51. 2022-05-26

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-09-26Moderna No
42022-04-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-16 priority 2/3
2021-01-18 priority 2/3
2022-03-27 Successful
2022-05-16
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-13 Successful
2022-05-16
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-25 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Dont really feel good good

2021-01-20

Systemic reaction (other): Really give out

2021-01-21

Systemic reaction (other): Feel like crap. Been in bed for 2 days

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Sleeping all day

Release 3 — day 14, dose 1

2021-01-29

Symptoms: My arm I received the shot in become red in the area of the shot to the size of a half dollar. My arm swelled and was red all coming down my arm. This all happen a week and a half After my shot. My Dr has put me on medication for a week.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Very bad headache

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Very tried

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: I had oral cancer and had to have surgery and 18 lymph nodes removed from my neck.

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Tightly in my chest and losing my breath

Release 11 — day 28, dose 4

2022-05-13

Symptoms: This didn't just happen but in Dec I got covid and didnt feel better till Feb. I had tongue cancer last May and my scan i had done the first of Dec was good but after covid I had another scan and the cancer was in my neck. All I thought was covid!! cut off by CDC

Release 11 — day 42, dose 4

2022-05-25

Symptoms: My cancer is back
Healthcare visit (other): Cancer center

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDChest discomfort · · ✓
SDCondition aggravated · · ✓
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDLip and/or oral cavity cancer ✓ · ✓
SDLymphadenectomy ✓ · ✓
SDNeoplasm malignant · · ✓
SDOral neoplasm ○ · ○
SDOral surgery ✓ · ✓
SDPre-existing disease · · ✓
SDTongue cancer metastatic · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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