YKZ-15552-18236
5 vaccinations
5 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Fatigue, Hypersomnia, Pain, Rash, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Large rash on my vaccinated arm, fatigue that caused me to sleep more and take naps, body aches and pain. Used Benadryl and Tylenol. Both were effective in helping me feel better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — day 21, dose 1MedDRA: Hypoaesthesia — Feeling: FairFree text: I am experiencing some numbness in my left heel and outside ankle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-01
Dose 2 — Moderna
-
2021-04-11
Survey response — day 7, dose 2MedDRA: Fatigue, Headache, Injection site pain, Injection site rash, Pain, Paraesthesia — Feeling: GoodFree text: Injection site pain, swelling, rash and tingly to my fingers the first few days, along with fatigue, head and body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-23
- 2021-04-30
- 2021-05-06
- 2021-05-13
-
2021-07-03
Survey response — 3 months, dose 2MedDRA: Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Increased neuropathy in feet and legs · Healthcare visit (other): Neurologist and rheumatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-09-30
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-07
Dose 4 — Moderna
- 2022-04-18
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
-
2022-09-18
Dose 5 — Moderna
-
2022-10-06
Survey response — day 14, dose 5MedDRA: Fatigue, Pain — Feeling: FairFree text: Fatigue, acheyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-12-18
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-03 | Unsuccessful |
Free text
Release 5 — day 14, dose 1
Symptoms: Large rash on my vaccinated arm, fatigue that caused me to sleep more and take naps, body aches and pain. Used Benadryl and Tylenol. Both were effective in helping me feel better.
Release 6 — day 21, dose 1
Symptoms: I am experiencing some numbness in my left heel and outside ankle.
Release 7 — day 7, dose 2
Systemic reaction (other): Injection site pain, swelling, rash and tingly to my fingers the first few days, along with fatigue, head and body aches.
Release 9 — 3 months, dose 2
Symptoms: Increased neuropathy in feet and legs
Healthcare visit (other): Neurologist and rheumatologist
Release 12 — day 14, dose 5
Symptoms: Fatigue, achey
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 | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release