YL4-21310-72388
4 vaccinations
5 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 144 / NY
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: I did have lingering swelling and redness at the site of the injection that I had not paid attention to when I responded earlier.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-14
Dose 2 — Moderna
-
2021-02-21
Survey response — day 7, dose 2MedDRA: Arthralgia, Fatigue, Pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I received the vaccine 1 week ago today. Twelve hours after getting the shot, I had joint pain through the night. The following day I was tired and achy. 48 hours after getting the vaccine I felt fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-11-10
Dose 3 — Moderna
- 2022-02-14
-
2022-09-12
Dose 4 — Moderna
-
2022-09-17
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Pyrexia — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Abdominal painFree text: I felt feverish and achy during the previous 3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-19
- 2022-09-29
- 2022-10-03
- 2022-10-12
-
2022-10-17
Survey response — day 35, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Tested positive for covidMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-12-14
-
2023-03-13
Survey response — 6 months, dose 4MedDRA: Blood sodium decreased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-13
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-15
-
2023-03-16
Callback requested for11:30AM ET
-
2023-03-16
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-13 | Successful 2023-03-16 |
Completed over the phone |
Free text
Release 3 — day 14, dose 1
Symptoms: I did have lingering swelling and redness at the site of the injection that I had not paid attention to when I responded earlier.
Release 4 — day 7, dose 2
Systemic reaction (other): I received the vaccine 1 week ago today. Twelve hours after getting the shot, I had joint pain through the night. The following day I was tired and achy. 48 hours after getting the vaccine I felt fine.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I felt feverish and achy during the previous 3 days.
Release 12 — day 35, dose 4
Symptoms: Tested positive for covid
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 | Blood sodium decreased | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release