YK9-13786-35785
6 vaccinations
6 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 229 / VA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-16
Registered in v-safe
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Depression, Feeling abnormal — Feeling: Good · Site: Pain, RednessFree text: Yesterday, the day after my shot, I forgot to say that I experienced some brain fog and minor depression. I am fine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Injection site erythema, Urticaria — Feeling: Good · Site: RednessFree text: The redness at my injection site has gradually spread down my arm to my elbow over the last week. A red welt has come up on my face, right cheek.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-06-08
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I have chronic lymphocytic leukemia and my oncologist prescribed an spike antibody test since many people with CLL do not make antibodies after vaccination. Sadly I am in that group: my antibody test was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-17
Dose 3 — Moderna
- 2021-09-07
- 2021-11-16
- 2022-02-15
-
2022-03-24
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-06-23
- 2022-09-22
-
2022-09-27
Dose 5 — Moderna
- 2022-09-27
-
2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: I have had diarrhea every day since my vaccination. After the first day when I had no other symptoms, I assumed something else was causing diarrhea. Now I am not so sure.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — day 7, dose 5MedDRA: Pain, Pyrexia — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I got a fluzone shot yesterday and I think fever and aches are from that , not my coronavirus shot a week ago.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — day 14, dose 5MedDRA: Diarrhoea, Fatigue, Vomiting — Feeling: Fair · 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: Vomiting, diarrhea, fatigue On 10/10, these symptoms started after we returned from a trip. I thought it was either food poisoning or the norovirus. Not sure. I had a negative antigen test.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-20
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-12-27
- 2023-03-28
-
2023-04-27
Dose 6 — Moderna
- 2023-05-08
- 2023-05-11
- 2023-05-18
- 2023-05-25
- 2023-06-01
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-08-17 | Moderna | No |
| 4 | 2022-03-24 | Pfizer-BioNTech | No |
| 5 | 2022-09-27 | Moderna | No |
| 6 | 2023-04-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-11 | Successful 2022-10-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, the day after my shot, I forgot to say that I experienced some brain fog and minor depression. I am fine today.
Systemic reaction (other): The redness at my injection site has gradually spread down my arm to my elbow over the last week. A red welt has come up on my face, right cheek.
Release 8 — 3 months, dose 2
Symptoms: I have chronic lymphocytic leukemia and my oncologist prescribed an spike antibody test since many people with CLL do not make antibodies after vaccination. Sadly I am in that group: my antibody test was negative.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have had diarrhea every day since my vaccination. After the first day when I had no other symptoms, I assumed something else was causing diarrhea. Now I am not so sure.
Release 12 — day 7, dose 5
Systemic reaction (other): I got a fluzone shot yesterday and I think fever and aches are from that , not my coronavirus shot a week ago.
Release 12 — day 14, dose 5
Symptoms: Vomiting, diarrhea, fatigue On 10/10, these symptoms started after we returned from a trip. I thought it was either food poisoning or the norovirus. Not sure. I had a negative antigen test.
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release