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YKR-13342-31651

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
379 / TN
Registered
2021-01-12
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Chills
    Adult check-in
  4. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-01-27
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-03
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-02-04
    Dose 2 — Moderna
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Chills, Headache, Joint pains
    Adult check-in
  10. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains
    Adult check-in
  11. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains
    Adult check-in
  12. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Poor · Site: Itching · Fever · Chills, Fatigue or tiredness
    Adult check-in
  13. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Injection site discomfort, Injection site inflammation — Feeling: Good
    Free text: Arm vaccine injected...soreness and inflammation near under arm area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-04
    Survey response — day 28, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair
    Free text: Sensitivity/slight swelling under arm where vaccine was administered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-03-18
    Survey response — day 42, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Increased joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Increased overall joint point. Shoulder and thumb joint changes most noticeable. · Healthcare visit (other): PCP office visit, x-ray
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-07
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-08-08
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Office visit, Pain, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Exacerbation of joint/tendon pain that resulted in a steroid shot. It may be related to vaccine/ current medication regiment. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-16
  23. 2022-02-06
    Survey response — 12 months, dose 2
    MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Good
    Free text: Not necessarily new, but an exacerbation of IBS after booster.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-04Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-07 Unsuccessful
2021-08-08 Unsuccessful

Free text

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Fatigue

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Arm vaccine injected...soreness and inflammation near under arm area.

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Sensitivity/slight swelling under arm where vaccine was administered.

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Increased joint pain.

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Increased overall joint point. Shoulder and thumb joint changes most noticeable.
Healthcare visit (other): PCP office visit, x-ray

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Exacerbation of joint/tendon pain that resulted in a steroid shot. It may be related to vaccine/ current medication regiment.
Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Not necessarily new, but an exacerbation of IBS after booster.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAxillary pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site discomfort ✓ ✓ ✓
SDInjection site inflammation ✓ ✓ ✓
SDIrritable bowel syndrome · · ✓
SDOedema peripheral ✓ ✓ ✓
SDPain ✓ · ✓
SDPre-existing disease ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release