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
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2021-01-24
Dose 1 — Moderna
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2021-01-26
Registered in v-safe
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis, Headache — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Head ache, 1 nose bleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Fear of injection, Head discomfort, Headache, Medical counselling, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Joint painsFree 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
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2021-02-03
Survey response — day 7, dose 1MedDRA: Epistaxis, Headache, Herpes virus infection, Lip erythema, Lip pain, Oral herpes, Oral pain, Rhinorrhoea — Feeling: FairFree 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
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2021-02-07
Survey response — day 14, dose 1MedDRA: Cough, Productive cough, Rhinorrhoea — Feeling: FairFree text: Runny nose, coughing up flem. Mild but persistentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-21
- 2021-02-28
- 2021-04-25
- 2021-07-26
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2022-01-24
Survey response — 12 months, dose 1MedDRA: Epistaxis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Many bloody noses · Healthcare visit (other): I am going to an ear nose and throat specialistMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-24 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Head ache, 1 nose bleed
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
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
Symptoms: Runny nose, coughing up flem. Mild but persistent
Release 11 — 12 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Fear of injection | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Herpes virus infection | ✓ | ✓ | ✓ |
| SRO | Lip erythema | ✓ | ✓ | ✓ |
| SRO | Lip pain | ✓ | ✓ | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release