YJJ-31998-82535
5 vaccinations
8 coded responses
32 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-10
- 2021-02-16
-
2021-02-17
Dose 2 — Moderna
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Body temperature increased, Bone pain, Chills, Headache, Myalgia, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have none now, but 12 to 48 hrs pist injection. I had temp of 102.8, shaking chills, frontal heafache, and bone, muscle, and joint aches . Glad tk say better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-06
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-26
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Emergency care, Erythema, Hospitalisation, Office visit, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Not related I hope but developed severe redness and swelling of right lower leg, seen at emergency department then 2 day's later by vascular surgeon, given IV antibiotics then d/c'd home with 2 oral atbs. No definitive dx. Cellulitis. Vs traumatic · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-10-29
Dose 3 — Moderna
- 2022-02-19
-
2022-04-13
Dose 4 — Moderna
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-29
- 2022-05-05
- 2022-05-20
- 2022-05-25
-
2022-07-13
Survey response — 3 months, dose 4MedDRA: COVID-19, Chills, Decreased appetite, Fatigue, Headache, Medical counselling, Nasal congestion, Pyrexia, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: Covid 19. Headache, fever 103, xtreme fatigue. Anorexia, chillls, very congested cough. Nasal stuffiness and congestion · Healthcare visit (other): Spoke to MD on phone did not want me in office contaminating othersMedDRA releases: 2024-11 · check-in free text available
-
2022-07-13
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-14
- 2022-07-14
-
2022-10-05
Dose 5 — Moderna
- 2022-10-12
- 2022-10-20
-
2022-10-26
Survey response — day 21, dose 5MedDRA: Headache — Feeling: FairFree text: Past few days frontal headacheMedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Survey response — day 28, dose 5MedDRA: Headache — Feeling: GoodFree text: Continuing minor frontal headacheMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — day 35, dose 5MedDRA: Headache — Feeling: GoodFree text: Intermittent frontal headacheMedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Survey response — day 42, dose 5MedDRA: Headache — Feeling: GoodFree text: Intermittent frontal headacheMedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-10-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-18 | Successful 2021-08-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-13 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have none now, but 12 to 48 hrs pist injection. I had temp of 102.8, shaking chills, frontal heafache, and bone, muscle, and joint aches . Glad tk say better now
Release 9 — 6 months, dose 2
Symptoms: Not related I hope but developed severe redness and swelling of right lower leg, seen at emergency department then 2 day's later by vascular surgeon, given IV antibiotics then d/c'd home with 2 oral atbs. No definitive dx. Cellulitis. Vs traumatic cut off by CDC
Healthcare visit (other): Office visit
Release 12 — 3 months, dose 4
Symptoms: Covid 19. Headache, fever 103, xtreme fatigue. Anorexia, chillls, very congested cough. Nasal stuffiness and congestion
Healthcare visit (other): Spoke to MD on phone did not want me in office contaminating others
Release 12 — day 21, dose 5
Symptoms: Past few days frontal headache
Release 12 — day 28, dose 5
Symptoms: Continuing minor frontal headache
Release 12 — day 35, dose 5
Symptoms: Intermittent frontal headache
Release 12 — day 42, dose 5
Symptoms: Intermittent frontal headache
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Erythema | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release