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YLU-32377-84935

4 vaccinations 6 coded responses 17 check-ins 6 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
400 / KY
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-05-05
    Dose 2 — Moderna
  3. 2021-05-06
    Registered in v-safe
  4. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Abdominal pain
    Free text: Detox sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Headache
    Adult check-in
  7. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  8. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-09
    Survey response — day 35, dose 2
    MedDRA: Menstrual clots, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Large clots in menstruation · Healthcare visit (other): Schedule DNC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-09
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-06-17
    Survey response — day 42, dose 2
    MedDRA: Cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cyst in ear
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-17
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-06-21
    Call successful
    Participant prefers to complete VAERS report online
  20. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-03
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-02
    Dose 3 — Moderna
  23. 2022-06-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-10-02
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  25. 2022-12-02
    Survey response — 12 months, dose 3
    MedDRA: Hypothyroidism, Melanocytic naevus, Seborrhoeic keratosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Barnacle and mole growths and hypothyroidism
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-12-02
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-12-05
  28. 2023-01-04
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-05Moderna
32021-12-02Moderna No
42022-10-02Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-06-09 Successful
2021-06-21
Participant prefers to complete VAERS report online
2021-06-17 Successful
2021-06-21
Participant prefers to complete VAERS report online
2022-12-02 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Stiff neck

2021-05-07

Systemic reaction (other): Detox sweats

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Large clots in menstruation
Healthcare visit (other): Schedule DNC

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Cyst in ear

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Pregnant

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Barnacle and mole growths and hypothyroidism

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDCyst ✓ ✓ ✓
SDHypothyroidism · · ✓
SDMelanocytic naevus · · ✓
SDMenstrual clots ✓ ✓ ✓
SDPregnancy · · ✓
SDSeborrhoeic keratosis · · ✓
SROHyperhidrosis ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release