YJT-51267-20297
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 330 / FL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-29
Registered in v-safe
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-31
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Joint painsFree text: Why are you not asking my husband Andrew about his condition havent had anything sent to me in three daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
-
2021-04-19
Dose 2 — Moderna
- 2021-04-21
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-25
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-17
- 2021-05-24
- 2021-06-01
-
2021-07-19
Survey response — 3 months, dose 2MedDRA: Asthenia, Condition aggravated, Drooling, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Donna had a major stroke five years ago lately she seems to be not as well she has done is coherent and shes drooling a lot more and much weaker no this is her husband I dont know if its from the stroke or the vaccineBut she is definitely noMedDRA releases: 2024-11 · check-in free text available
-
2021-07-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2022-04-19
Survey response — 12 months, dose 2MedDRA: Asthenia, Dysstasia, Gait disturbance, Hallucination, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: I had a massive stroke prior to receiving my shots however since receiving my shots I have really gone downhill I no longer can stand up are used to be able to walk a little bit and now I cannot I have no energy and I am hallucinating Just doing notMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-19 | Unsuccessful | |
| 2022-04-19 | Unsuccessful |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Why are you not asking my husband Andrew about his condition havent had anything sent to me in three days
Release 9 — 3 months, dose 2
Symptoms: Donna had a major stroke five years ago lately she seems to be not as well she has done is coherent and shes drooling a lot more and much weaker no this is her husband I dont know if its from the stroke or the vaccineBut she is definitely no
Release 11 — 12 months, dose 2
Symptoms: I had a massive stroke prior to receiving my shots however since receiving my shots I have really gone downhill I no longer can stand up are used to be able to walk a little bit and now I cannot I have no energy and I am hallucinating Just doing not cut off by CDC
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 | Condition aggravated | · | · | ✓ |
| SD | Drooling | · | · | ✓ |
| SD | Dysstasia | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Hallucination | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release