YKP-12815-85852
5 vaccinations
9 coded responses
47 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 493 / MI
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
- 2021-01-15
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Malaise, Musculoskeletal discomfort — Feeling: Good · Site: PainFree text: Yesterday I just felt blah with headache and neck discomfort after my check-in until about 8 or 9 pm. Late last night and today has been fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Headache, Musculoskeletal discomfort, Neck pain, Pain in jaw — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain at Temple started yesterday but I didn't realize it was getting much worse until evening. It spread down my jaw. Was much worse when palpating the areas. This morning mostly resolved except anterior to left ear and at Temple. Was moderate yesterday, very mild today. I have had a little neck and shoulder discomfort yesterday and today. Headache and neck pain day after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still have slight temporal pain with palpation above zygomatic arch at the temple.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-03
Survey response — day 7, dose 2MedDRA: Arthralgia, Disorientation, Head discomfort, Neck pain — Feeling: GoodFree text: Tiny bit discomfort at Temple above zygomatic arch when palpated. Mild should and neck ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Arthralgia, Herpes zoster, Pain in extremity, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Probable reoccurrence of shingles with significant pain right arm and right shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: FairFree text: Continued shoulder and arm pain from presumed shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-05
- 2021-03-10
- 2021-04-28
- 2021-06-16
- 2021-07-28
-
2021-11-18
Dose 3 — Moderna
- 2021-11-30
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-19
-
2022-05-23
Dose 4 — Moderna
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
-
2022-06-06
Survey response — day 14, dose 4MedDRA: Medical counselling, Vertigo — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Significant vertigo · Healthcare visit (other): TelephoneMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-07
- 2022-06-07
- 2022-06-07
- 2022-06-10
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-09-26
Dose 5 — Moderna
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
-
2022-10-03
Health check-in — day 7, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-10
Survey response — day 14, dose 5MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Back spasms probably unrelated to vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Survey response — day 21, dose 5MedDRA: Neck pain, Office visit, Pain in extremity, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in neck and arm similar to when I had shingles. Had similar pain after a previous covid vaccination provider felt was shingles. No rash though. Now for well over a week.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-02 | Unsuccessful | |
| 2021-02-10 | Unsuccessful | |
| 2022-06-06 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I just felt blah with headache and neck discomfort after my check-in until about 8 or 9 pm. Late last night and today has been fine
Systemic reaction (other): Pain at Temple started yesterday but I didn't realize it was getting much worse until evening. It spread down my jaw. Was much worse when palpating the areas. This morning mostly resolved except anterior to left ear and at Temple. Was moderate yesterday, very mild today. I have had a little neck and shoulder discomfort yesterday and today. Headache and neck pain day after injection.
Systemic reaction (other): Still have slight temporal pain with palpation above zygomatic arch at the temple.
Release 3 — day 7, dose 2
Systemic reaction (other): Tiny bit discomfort at Temple above zygomatic arch when palpated. Mild should and neck ache.
Release 4 — day 14, dose 2
Symptoms: Probable reoccurrence of shingles with significant pain right arm and right shoulder.
Release 4 — day 21, dose 2
Symptoms: Continued shoulder and arm pain from presumed shingles
Release 11 — day 14, dose 4
Release 12 — day 14, dose 5
Symptoms: Back spasms probably unrelated to vaccine
Release 12 — day 21, dose 5
Symptoms: Pain in neck and arm similar to when I had shingles. Had similar pain after a previous covid vaccination provider felt was shingles. No rash though. Now for well over a week.
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 | Medical counselling | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Disorientation | ○ | ✓ | ○ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release