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YJD-31933-45875

3 vaccinations 4 coded responses 18 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
990 / WA
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Intermittent dizziness a couple of days this week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-05
    Dose 2 — Moderna
  11. 2021-02-12
    Survey response — day 7, dose 2
    MedDRA: Diarrhoea, Injection site pruritus, Pyrexia — Feeling: Fair · Site: Swelling, Itching · Be unable to work, Be unable to do your normal daily activities
    Free text: This is a week out. The day after my shot, I had a fever of 101.5 and all over pain and diarrhea as well as extreme pain and itching at the vaccine site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Emergency care, Neck mass — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: A huge lump came up on my neck. I went to ER and they could not figure out what it was but put me on antibiotics
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-07
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-30
    Dose 3 — Moderna
  21. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Respiratory symptom, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Respiratory symptoms but I was tested for Covid twice and both tests were negative (did Rapid Antigen first test and then the PCR) · Healthcare visit (other): Covid testing twice
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-02-05
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-02-07
  24. 2022-02-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2022-04-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-10-30
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-10-30Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-07 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-05 Successful
2022-02-07
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Intermittent dizziness a couple of days this week

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): This is a week out. The day after my shot, I had a fever of 101.5 and all over pain and diarrhea as well as extreme pain and itching at the vaccine site

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: A huge lump came up on my neck. I went to ER and they could not figure out what it was but put me on antibiotics

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Respiratory symptoms but I was tested for Covid twice and both tests were negative (did Rapid Antigen first test and then the PCR)
Healthcare visit (other): Covid testing twice

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
HCVOSARS-CoV-2 test · · ✓
SDDizziness ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDNeck mass ✓ ✓ ✓
SDRespiratory symptom · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODiarrhoea ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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