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
-
2021-01-06
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
- 2021-01-15
- 2021-01-22
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2021-01-27
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Chills, Headache, Joint painsAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint painsAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint painsAdult check-in
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2021-02-11
Health check-in — day 7, dose 2Feeling: Poor · Site: Itching · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-02-20
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2021-02-25
Survey response — day 21, dose 2MedDRA: Injection site discomfort, Injection site inflammation — Feeling: GoodFree text: Arm vaccine injected...soreness and inflammation near under arm area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 28, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: FairFree text: Sensitivity/slight swelling under arm where vaccine was administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-18
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Increased joint pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased overall joint point. Shoulder and thumb joint changes most noticeable. · Healthcare visit (other): PCP office visit, x-rayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-08
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit, Pain, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: GoodFree text: Not necessarily new, but an exacerbation of IBS after booster.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-07 | Unsuccessful | |
| 2021-08-08 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Fatigue
Release 4 — day 21, dose 2
Symptoms: Arm vaccine injected...soreness and inflammation near under arm area.
Release 5 — day 28, dose 2
Symptoms: Sensitivity/slight swelling under arm where vaccine was administered.
Release 5 — day 42, dose 2
Symptoms: Increased joint pain.
Release 8 — 3 months, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site inflammation | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release