YLK-48363-23203
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 212 / MD
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Joint swelling, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Swollen ankle and foot, difficulty sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Joint swelling, Peripheral swelling — Feeling: Good · Headache, Joint painsFree text: Swelling in ankle/foot is almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-14
- 2021-05-19
- 2021-05-26
- 2021-06-05
- 2021-06-09
- 2021-07-28
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Erythema infectiosum, Gastroenteritis, Pregnancy, Salmonellosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pregnancy. Gastroenteritis or salmonella. Fifth's disease.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Dose 3 — Moderna
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Cough, Dyspnoea, Painful respiration, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, congestion, difficulty and pain breathingMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-29
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Successful 2022-04-29 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen ankle and foot, difficulty sleeping
Systemic reaction (other): Swelling in ankle/foot is almost gone
Release 10 — 6 months, dose 2
Symptoms: Pregnancy. Gastroenteritis or salmonella. Fifth's disease.
Release 11 — 12 months, dose 2
Symptoms: Cough, congestion, difficulty and pain breathing
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 | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Erythema infectiosum | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Salmonellosis | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release