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YHQ-21956-90999

1 vaccination 5 coded responses 10 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
974 / OR
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-24
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Epistaxis, Headache — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: Head ache, 1 nose bleed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fear of injection, Head discomfort, Headache, Medical counselling, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Joint pains
    Free text: Really bad headache for 48 hours after the first moderna vaccine. It still concerns me. I am fearful of getting the 2nd moderna shot. I have had strong reactions to vaccines before but this is the first time i felt fearful of getting a booster shot. The headach after the vaccine felt likecdeeo pressure all arounf my head. I wondered if i could end up habing a stroke. I wonder if I could get the Pfizer vaccine instead as my uderstanding from several pharmasists that it has less side effects.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-03
    Survey response — day 7, dose 1
    MedDRA: Epistaxis, Headache, Herpes virus infection, Lip erythema, Lip pain, Oral herpes, Oral pain, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose since vaccine. One bloody nose 3 days after vaccinne. I have herpes. The day after the vaccine my mouth hurt as if i had cold sores in my mouth. The next day that went away and my lips got very red and hurt. Then that was gone after 24 hours. The headache I had for 48 hours after the vaccine was the worst headache I have ever had.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-07
    Survey response — day 14, dose 1
    MedDRA: Cough, Productive cough, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, coughing up flem. Mild but persistent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-28
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-04-25
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-07-26
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2022-01-24
    Survey response — 12 months, dose 1
    MedDRA: Epistaxis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Many bloody noses · Healthcare visit (other): I am going to an ear nose and throat specialist
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-24
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2022-01-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-01-24 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Head ache, 1 nose bleed

2021-01-30

Systemic reaction (other): Really bad headache for 48 hours after the first moderna vaccine. It still concerns me. I am fearful of getting the 2nd moderna shot. I have had strong reactions to vaccines before but this is the first time i felt fearful of getting a booster shot. The headach after the vaccine felt likecdeeo pressure all arounf my head. I wondered if i could end up habing a stroke. I wonder if I could get the Pfizer vaccine instead as my uderstanding from several pharmasists that it has less side effects.

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Runny nose since vaccine. One bloody nose 3 days after vaccinne. I have herpes. The day after the vaccine my mouth hurt as if i had cold sores in my mouth. The next day that went away and my lips got very red and hurt. Then that was gone after 24 hours. The headache I had for 48 hours after the vaccine was the worst headache I have ever had.

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Runny nose, coughing up flem. Mild but persistent

Release 11 — 12 months, dose 1

2022-01-24

Symptoms: Many bloody noses
Healthcare visit (other): I am going to an ear nose and throat specialist

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 · · ✓
SDCough ✓ ✓ ✓
SDEpistaxis · · ✓
SDProductive cough ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROFear of injection · · ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHerpes virus infection ✓ ✓ ✓
SROLip erythema ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROMedical counselling · · ✓
SROOral herpes ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROReaction to previous exposure to any vaccine · · ✓
SRORhinorrhoea ✓ ✓ ✓

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