YKF-10961-72459
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 042 / ME
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Gaze palsy, Myalgia, Nausea, Pain, Pyrexia, Tremor — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: The same day I received the second vaccination I had chills shaking chills, headache muscle and body aches extreme fatigue nausea diarrhea. I was unable to go to work the following day which is quite unusual for me. I took my temperature and although I did not have a fever I felt feverish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-04-21
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Hypertension, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure. My BP is usually low. Headaches mostly daily. Extreme fatigue. I did not tell about the headaches and fugue before because I didnt think they were related but they just dont stop. · Healthcare visit (other): In person visit and phone callsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-21
- 2022-01-20
- 2022-04-01
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Unsuccessful |
Free text
Release 2 — day 7, dose 2
Systemic reaction (other): The same day I received the second vaccination I had chills shaking chills, headache muscle and body aches extreme fatigue nausea diarrhea. I was unable to go to work the following day which is quite unusual for me. I took my temperature and although I did not have a fever I felt feverish.
Release 7 — 3 months, dose 2
Symptoms: High blood pressure. My BP is usually low. Headaches mostly daily. Extreme fatigue. I did not tell about the headaches and fugue before because I didnt think they were related but they just dont stop.
Healthcare visit (other): In person visit and phone calls
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 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gaze palsy | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release