YHR-25869-50777
4 vaccinations
4 coded responses
54 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 451 / OH
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B8F-83231-67549
Child or adolescent in my care · Male · 2021-11-09
97G-18441-30261
Child or adolescent in my care · Male · 2021-11-09
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Dermatitis contact, Herpes zoster, Office visit, Pre-existing disease, Rash, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): A rash first thought to be poison ivy started a few days before vaccine. After the vaccine it worsened and today was officially diagnosed as shingles. I'm guessing an unfortunate coincidence, but thought I'd note it anyway. · Healthcare visit (other): In person at primary care for Shingles that started prior to vaccination butMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
-
2021-04-22
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Chills, Pain in extremity, Tremor — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Anxiety with a small bout of shaking. The chills and anxiety happened yesterday around 9pm after the check in. Today I felt fine minus a touch of soreness in my arm..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-12-08
Dose 3 — Moderna
- 2021-12-08
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Tremor — Feeling: Fair · Site: Pain · Chills, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 11hrs after the shot I started to get chills. They peaked for about 45 mins, coming in waves, and during that time I was shaking as well.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-23
-
2022-03-09
Survey response — 3 months, dose 3MedDRA: Fatigue, Headache, Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, headache, sneezing, tirednessMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
-
2022-10-28
Dose 4 — Moderna
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-06
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-10
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-30 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A rash first thought to be poison ivy started a few days before vaccine. After the vaccine it worsened and today was officially diagnosed as shingles. I'm guessing an unfortunate coincidence, but thought I'd note it anyway.
Healthcare visit (other): In person at primary care for Shingles that started prior to vaccination but
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Anxiety with a small bout of shaking. The chills and anxiety happened yesterday around 9pm after the check in. Today I felt fine minus a touch of soreness in my arm..
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 11hrs after the shot I started to get chills. They peaked for about 45 mins, coming in waves, and during that time I was shaking as well.
Release 11 — 3 months, dose 3
Symptoms: Sore throat, headache, sneezing, tiredness
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 | Herpes zoster | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Pre-existing disease | ✓ | · | ✓ |
| HCVO | Specialist consultation | ○ | ✓ | ○ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dermatitis contact | ○ | ✓ | ○ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release