YJJ-16857-42076
5 vaccinations
8 coded responses
62 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 117 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-07
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Multiple allergies, Paranasal sinus discomfort — Feeling: Good · HeadacheFree text: Mild sinus pressure past few days. Could be allergies, not sure if vaccine related or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Muscle or body aches, NauseaAdult check-in
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2021-01-12
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-19
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Tender swollen lymph nodes under jaw/neck on same side as my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-09
- 2021-02-16
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2021-02-23
Survey response — day 21, dose 2MedDRA: Hot flush, Night sweats — Feeling: GoodFree text: Hot flashes and night sweats came back after 2nd vaccine but didnt put it together right away. (Had no hot flashes for almost a full year prior to vaccine).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
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2021-10-29
Dose 3 — Moderna
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-02
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-26
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2021-12-04
Survey response — day 35, dose 3MedDRA: Paranasal sinus discomfort, Sinus congestion, Sinus headache — Feeling: FairFree text: Sinus congestion, pressure, and sinus headaches worst in mornings.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2022-01-28
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2022-04-11
Dose 4 — Moderna
- 2022-04-11
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2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
-
2022-09-04
Dose 5 — Moderna
- 2022-09-04
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2022-09-05
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-08
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal discomfort — Feeling: Fair · Muscle or body achesFree text: upset stomachMedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal discomfort — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: upset stomachMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-11
- 2022-09-26
- 2022-10-02
- 2022-10-09
- 2022-10-16
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2022-12-04
Survey response — 3 months, dose 5MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested + for covid...headache, fever, sore throat, chills, body aches, severe fatigue, coughMedDRA releases: 2024-11 · check-in free text available
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2023-03-05
Survey response — 6 months, dose 5MedDRA: Biliary colic, Bronchitis, Cough, Muscle strain, Rib fracture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-05
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-05 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sinus pressure past few days. Could be allergies, not sure if vaccine related or not.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Tender swollen lymph nodes under jaw/neck on same side as my shot
Release 4 — day 21, dose 2
Symptoms: Hot flashes and night sweats came back after 2nd vaccine but didnt put it together right away. (Had no hot flashes for almost a full year prior to vaccine).
Release 10 — day 35, dose 3
Symptoms: Sinus congestion, pressure, and sinus headaches worst in mornings.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): upset stomach
Systemic reaction (other): upset stomach
Release 12 — 3 months, dose 5
Symptoms: Tested + for covid...headache, fever, sore throat, chills, body aches, severe fatigue, cough
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 |
|---|---|---|---|---|
| SD | Biliary colic | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Multiple allergies | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release