YJ2-25727-07727
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 274 / NC
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Self-medication — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: For one hour in the middle of the night I had violent shivering. I piled on blankets and took Ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-20
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Dysphonia — Feeling: GoodFree text: When I had covid I was hoarse for weeks. I still have that mostly in am. Not sure if related or another cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-27
- 2021-04-02
- 2021-04-11
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Asthma, Heart rate irregular, Lung hyperinflation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Since I did have Covid in Nov my doc son in law urged me to get heart and lungs checked. Hyper inflated lungs, Covid asthma and noe irregular heartbeats! Could any of this be result of vaccines? · Healthcare visit (other): In office visits and lots of testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2022-02-28
-
2022-04-28
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-28 | Successful 2022-04-28 |
Not applicable - Accidental Reporting |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): For one hour in the middle of the night I had violent shivering. I piled on blankets and took Ibuprofen.
Release 5 — day 14, dose 2
Symptoms: When I had covid I was hoarse for weeks. I still have that mostly in am. Not sure if related or another cause.
Release 8 — 3 months, dose 2
Symptoms: Since I did have Covid in Nov my doc son in law urged me to get heart and lungs checked. Hyper inflated lungs, Covid asthma and noe irregular heartbeats! Could any of this be result of vaccines?
Healthcare visit (other): In office visits and lots of testing
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Lung hyperinflation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release