YLV-88871-07062
4 vaccinations
15 coded responses
25 check-ins
14 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 061 / CT
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-18
Registered in v-safe
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Excessive thirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Fair · Headache, Fatigue or tirednessFree text: ThirstyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Fair · Headache, Fatigue or tirednessFree text: ThirstyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 7, dose 2MedDRA: Thirst — Feeling: Fair · Headache, Fatigue or tirednessFree text: ThirstyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
-
2021-05-16
Survey response — day 28, dose 2MedDRA: Hypoacusis — Feeling: GoodFree text: Some hearing issues. Unsure if related to vaccine but since it asked for ANY change in health conditions I answered in the affirmative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
-
2021-05-28
Survey response — day 42, dose 2MedDRA: Fatigue, Flatulence, Irritable bowel syndrome, Pre-existing disease — Feeling: FairFree text: IBS symptoms progressively worse. Excessive gas. Continued exhaustion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-16
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: ExhaustionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-23
Dose 3 — Moderna
-
2022-04-16
Survey response — 12 months, dose 2MedDRA: Acne, Depression, Flatulence, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Acne & depression & gas · Healthcare visit (other): In office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-19
-
2022-04-19
Call successfulReported to VAERS during previous contact from GDIT
-
2022-04-19
Call successfulReported to VAERS during previous contact from GDIT
-
2022-09-29
Dose 4 — Moderna
-
2022-09-30
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tirednessFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2022-10-05
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — day 7, dose 4MedDRA: Tinnitus — Feeling: Good · Fatigue or tirednessFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — day 14, dose 4MedDRA: Fatigue, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tinnitus; ringing in my ears Fatigue & tiredness · Healthcare visit (other): In office consult w/ear, nose & throat specialist & audiology testingMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-14
-
2022-10-18
Call successfulCompleted over the phone
- 2022-10-20
- 2022-10-27
-
2022-11-03
Survey response — day 35, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend schoolFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-12-30
-
2023-03-30
Survey response — 6 months, dose 4MedDRA: Gastrointestinal disorder, Tinnitus — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-15 | Successful 2022-04-19 |
Reported to VAERS during previous contact from GDIT |
| 2022-04-16 | Successful 2022-04-19 |
Reported to VAERS during previous contact from GDIT |
| 2022-10-13 | Successful 2022-10-18 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Excessive thirst
Systemic reaction (other): Thirsty
Systemic reaction (other): Thirsty
Release 7 — day 7, dose 2
Systemic reaction (other): Thirsty
Release 8 — day 28, dose 2
Symptoms: Some hearing issues. Unsure if related to vaccine but since it asked for ANY change in health conditions I answered in the affirmative.
Release 8 — day 42, dose 2
Symptoms: IBS symptoms progressively worse. Excessive gas. Continued exhaustion.
Release 10 — 6 months, dose 2
Symptoms: Exhaustion
Release 11 — 12 months, dose 2
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 12 — day 7, dose 4
Systemic reaction (other): Tinnitus
Release 12 — day 14, dose 4
Symptoms: Tinnitus; ringing in my ears Fatigue & tiredness
Healthcare visit (other): In office consult w/ear, nose & throat specialist & audiology testing
Release 12 — day 35, dose 4
Symptoms: Fatigue
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 | Acne | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Hypoacusis | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release