YMA-11704-13725
5 vaccinations
7 coded responses
36 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-20
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus — Feeling: GoodFree text: About 5 days ago, the site of the injection started to itch quite noticeably. It lasted about 3 days & has now subsided. It seemed odd since it had not bothered me at all after a couple days of soreness immediately after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-06-09
Survey response — 3 months, dose 2MedDRA: Diverticulitis — Feeling: Good · 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: Diagnosed as diverticulitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-04
-
2021-11-09
Dose 3 — Moderna
- 2021-11-11
-
2022-03-06
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Influenza like illness, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu like symptoms for 3 days - headache, body aches & significant fatigue. Then I was fine. No temperature. I took a home COVID test that was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Dose 4 — Moderna
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: PoorFree text: Congestion and cough from nasal drainageMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Eye pruritus, Rhinorrhoea, Sinus congestion — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Cough & significant sinus congestion, runny nose, itchy eyes.MedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Survey response — day 7, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-23
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2022-10-20
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Good · 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: COVID. Tested positive. Symptoms were sore throat, cough, significant fatigue that lasted longer than any other symptom.MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-21
- 2022-10-21
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2022-11-18
Dose 5 — Pfizer-BioNTech
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-11-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-09 | Unsuccessful | |
| 2022-10-20 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: About 5 days ago, the site of the injection started to itch quite noticeably. It lasted about 3 days & has now subsided. It seemed odd since it had not bothered me at all after a couple days of soreness immediately after the shot.
Release 9 — 3 months, dose 2
Symptoms: Diagnosed as diverticulitis.
Release 11 — 12 months, dose 2
Symptoms: Flu like symptoms for 3 days - headache, body aches & significant fatigue. Then I was fine. No temperature. I took a home COVID test that was negative.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Congestion and cough from nasal drainage
Systemic reaction (other): Cough & significant sinus congestion, runny nose, itchy eyes.
Release 11 — day 7, dose 4
Systemic reaction (other): Cough, congestion
Release 12 — 6 months, dose 4
Symptoms: COVID. Tested positive. Symptoms were sore throat, cough, significant fatigue that lasted longer than any other symptom.
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 | COVID-19 | · | · | ✓ |
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Eye pruritus | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release