YL6-32790-77458
4 vaccinations
6 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 207 / MD
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Cough, Fatigue, Headache, Pain, Pyrexia, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day 9-12 after shot. Felt feverish but temp 96.2-97.3. Fatigued, achy, headache with some relief with Tylenol Had cough day 9 but took mucinex with reliefMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 21, dose 2MedDRA: Pain — Feeling: FairFree text: Aching and fluctuating low grade fever 97.2-98.8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-06-19
- 2021-09-14
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-03
- 2021-12-09
-
2021-12-16
Survey response — day 42, dose 3MedDRA: Deep vein thrombosis, Fluid retention, Medical counselling, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen left leg/foot Dr says flyid retention or deep vein thrombosis.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-20
- 2021-12-22
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Aphonia, Fatigue, Nasopharyngitis, Pyrexia, Self-medication — Feeling: Fair · Be unable to work or attend schoolFree text: Head cold/allergies; fever one day; zyrtec cleared head; fatigue; loss voiceMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
-
2022-09-17
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-17
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-09-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body achesAdult check-in
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot — Feeling: Good · Fever · HeadacheFree text: No temp but felt hotMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-10-01
-
2022-10-08
Survey response — day 21, dose 4MedDRA: Arthralgia, Neck pain, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Over week with neck/shoulder pain with little relief ibuprofen, bio freeze, heat pad, changing pillow. Not sure if related.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-19
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-09-17 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-16 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Day 9-12 after shot. Felt feverish but temp 96.2-97.3. Fatigued, achy, headache with some relief with Tylenol Had cough day 9 but took mucinex with relief
Release 7 — day 21, dose 2
Symptoms: Aching and fluctuating low grade fever 97.2-98.8
Release 10 — day 42, dose 3
Symptoms: Swollen left leg/foot Dr says flyid retention or deep vein thrombosis.
Release 11 — 3 months, dose 3
Symptoms: Head cold/allergies; fever one day; zyrtec cleared head; fatigue; loss voice
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): No temp but felt hot
Release 12 — day 21, dose 4
Symptoms: Over week with neck/shoulder pain with little relief ibuprofen, bio freeze, heat pad, changing pillow. Not sure if related.
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 |
|---|---|---|---|---|
| SD | Adverse reaction | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fluid retention | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release