YJQ-23478-15801
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 925 / CA
- Registered
- 2021-01-06
- Relationship
- Self
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Site: PainFree text: The pain at the injection site is a bruising feeling that is no different from other vaccines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
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2021-01-20
Survey response — day 14, dose 1MedDRA: Asthenia, COVID-19, Confusional state, Dizziness, Dyspnoea, Headache, Medical counselling, Mental impairment, Mobility decreased, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, 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: On day 8 you stopped checking on me. Ive had 2 covid tests that were negative since then. Im dizzy, weak, confused, and short of breath. I have headaches. Doctors say its normal but I cant get out of bed or form thoughts. Its notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Dose 2 — Moderna
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2021-02-12
Survey response — day 7, dose 2MedDRA: Asthenia, Confusional state, Dizziness, Vertigo — Feeling: Poor · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Whole body fizzing plus dizzy, weak, slow to process, confused and vertigo since 6 hours after the 2nd dose. I feel drunk 24/7 with no relief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-20 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-12 | Successful 2021-05-03 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The pain at the injection site is a bruising feeling that is no different from other vaccines.
Release 2 — day 14, dose 1
Symptoms: On day 8 you stopped checking on me. Ive had 2 covid tests that were negative since then. Im dizzy, weak, confused, and short of breath. I have headaches. Doctors say its normal but I cant get out of bed or form thoughts. Its not
Release 4 — day 7, dose 2
Systemic reaction (other): Whole body fizzing plus dizzy, weak, slow to process, confused and vertigo since 6 hours after the 2nd dose. I feel drunk 24/7 with no relief.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Mental impairment | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release