YJX-25410-44223
5 vaccinations
5 coded responses
59 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 410 / KY
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-08
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infection treated with amoxicillin.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-01
-
2021-11-12
Dose 3 — Moderna
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: On 11/13 had muscle aches.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2021-12-24
Survey response — day 42, dose 3MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had 3 days of loose bowel movements but uncertain if this was food related or not. Fully recovered today.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-11
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Chills, Pain, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had 9 hours of vomiting 2/11 at night. No diarrhea. Low grade temp of 99.3 2/12. Last night had temp of 100.1 with chills. Am very sore from the vomiting Wednesday night. Taking fluids only. Did home covid test yesterday morning. Neg. Will retest pmMedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
-
2022-05-22
Dose 4 — Moderna
- 2022-05-28
- 2022-05-29
- 2022-06-06
- 2022-06-12
- 2022-06-21
- 2022-06-26
- 2022-07-03
- 2022-08-21
-
2022-10-02
Dose 5 — Moderna
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-13
-
2023-01-01
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-01
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-22 | Moderna | No |
| 5 | 2022-10-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-28 | Successful 2023-01-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-01-01 | Successful 2023-01-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — 6 months, dose 2
Symptoms: Sinus infection treated with amoxicillin.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On 11/13 had muscle aches.
Release 10 — day 42, dose 3
Symptoms: Had 3 days of loose bowel movements but uncertain if this was food related or not. Fully recovered today.
Release 11 — 3 months, dose 3
Symptoms: Had 9 hours of vomiting 2/11 at night. No diarrhea. Low grade temp of 99.3 2/12. Last night had temp of 100.1 with chills. Am very sore from the vomiting Wednesday night. Taking fluids only. Did home covid test yesterday morning. Neg. Will retest pm 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 | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release