YKC-10332-20419
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 501 / IA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Abdominal painAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Abdominal painFree text: My abdominal pain is mostly due to a GI condition I have, I would guess.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Condition aggravated, Fatigue, Pre-existing disease, Tendon discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My GI system is my Achilles heel. So it's not surprising that my gut is acting up. Mostly this is lower GI distress. I'm also quite fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Chills, NauseaFree text: I felt nauseous this morning. It may be unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 1MedDRA: Nausea — Feeling: Good · NauseaFree text: I just been a little queasy in the mornings. I don't know if this is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vaccination site has turn red and very swollen, painful and itchy. Pain runs into elbow. Last night arm went numb. Have had increased GI distress, but that is a little better today. Could not get in to see doctor until next Monday. · Healthcare visit (other): Doctor cancelled because of an emergency. Can't see me until Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 21, dose 1MedDRA: Electrocardiogram, Emergency care, Fatigue, Injection site reaction, Office visit — Feeling: Fair · 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: Symptoms: In pre-op for GI procedures, EKG showed possible heart attack. Still experiencing fatigue and delayed reaction at injection site of first moderna shot. 2nd EKG showed same result. Had Echo today, results pending. No HX of heart disease. Concerned. · Healthcare visit (other): Referred to cardiologist by primary care doctor. Undergoing further tests.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-06
- 2021-05-13
- 2021-09-29
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2022-04-01
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-13 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-22 | Successful 2022-04-01 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My abdominal pain is mostly due to a GI condition I have, I would guess.
Systemic reaction (other): My GI system is my Achilles heel. So it's not surprising that my gut is acting up. Mostly this is lower GI distress. I'm also quite fatigued.
Systemic reaction (other): I felt nauseous this morning. It may be unrelated to the vaccine.
Release 7 — day 7, dose 1
Systemic reaction (other): I just been a little queasy in the mornings. I don't know if this is related to the vaccine.
Release 7 — day 14, dose 1
Symptoms: Vaccination site has turn red and very swollen, painful and itchy. Pain runs into elbow. Last night arm went numb. Have had increased GI distress, but that is a little better today. Could not get in to see doctor until next Monday.
Healthcare visit (other): Doctor cancelled because of an emergency. Can't see me until Monday.
Release 7 — day 21, dose 1
Symptoms: In pre-op for GI procedures, EKG showed possible heart attack. Still experiencing fatigue and delayed reaction at injection site of first moderna shot. 2nd EKG showed same result. Had Echo today, results pending. No HX of heart disease. Concerned.
Healthcare visit (other): Referred to cardiologist by primary care doctor. Undergoing further tests.
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Electrocardiogram | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tendon discomfort | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release