YM8-19403-09172
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-01
Registered in v-safe
-
2021-01-01
Dose 1 — Moderna
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-05
- 2021-01-06
- 2021-01-10
- 2021-01-15
- 2021-01-22
- 2021-01-31
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis, Sleep disorder — Feeling: GoodFree text: Woke up early very sweaty and chilly but went back to sleep and felt fine sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-14
- 2021-02-22
- 2021-02-27
- 2021-03-05
- 2021-03-13
- 2021-03-21
- 2021-05-07
- 2021-08-06
-
2021-11-06
Dose 3 — Moderna
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: May have a current sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-30
- 2021-12-11
-
2021-12-18
Survey response — day 42, dose 3MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Heavier menstrual cycle.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-05
-
2022-05-09
Survey response — 6 months, dose 3MedDRA: Hyperthyroidism, Ovarian cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 10cm ovarian cyst, hyperthyroidismMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-10
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-01 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-09 | Successful 2022-05-10 |
Not applicable - Accidental Reporting |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up early very sweaty and chilly but went back to sleep and felt fine since
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): May have a current sinus infection
Release 10 — day 42, dose 3
Symptoms: Heavier menstrual cycle.
Release 11 — 6 months, dose 3
Symptoms: 10cm ovarian cyst, hyperthyroidism
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 | Heavy menstrual bleeding | · | · | ✓ |
| SD | Hyperthyroidism | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ○ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release