YLP-17640-30939
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Good · Abdominal painFree text: Lower left quadrant twinges every once in a while since the day of the vaccine. Spread apart and brief. Seems unrelated, but I thought I would report just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Since Wednesday, very sore arm pit in the arm I received the shot. Maybe swollen lymph node.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Pruritus, Rash pruritic — Feeling: FairFree text: I have itchy, temporary rashes occurring on my joints (elbows, knees, etc)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Pruritus, Rash pruritic — Feeling: GoodFree text: Still having random itchy skin rashes pop up on various parts of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-20
- 2021-03-26
- 2021-05-14
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — 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 · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-19
- 2021-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Lower left quadrant twinges every once in a while since the day of the vaccine. Spread apart and brief. Seems unrelated, but I thought I would report just in case.
Release 2 — day 7, dose 1
Systemic reaction (other): Since Wednesday, very sore arm pit in the arm I received the shot. Maybe swollen lymph node.
Release 4 — day 14, dose 2
Symptoms: I have itchy, temporary rashes occurring on my joints (elbows, knees, etc)
Release 5 — day 21, dose 2
Symptoms: Still having random itchy skin rashes pop up on various parts of my body.
Release 9 — 6 months, dose 2
Symptoms: Miscarriage
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release