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YMD-29743-52404

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
792 / TX
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2020-12-29
    Registered in v-safe
  3. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flatulence — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea
    Free text: Noxious flatulence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-25
    Dose 2 — Moderna
  12. 2021-01-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Painful cyst-like mobile lump on left clavicle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Shot side, left supraclavicular lymph cluster swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache
    Free text: Swollen supraclavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen supraclavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches
    Free text: Swollen supraclavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Swollen supraclavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-01
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Swollen supraclavicular lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-15
    Survey response — day 21, dose 2
    MedDRA: Heart rate increased, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Unexplained hypertension with increased heart rate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-15
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-10
    Survey response — day 42, dose 2
    MedDRA: Cough, Oropharyngeal pain, Paranasal sinus hypersecretion, Sinus operation, Tinnitus — Feeling: Fair
    Free text: Tinnitus and sinus drainage with sore throat and cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-26
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-07-31
  29. 2021-11-29
    Dose 3 — Moderna
  30. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Chills, Cough, Discharge, Headache, Influenza like illness, Mastitis, Oropharyngeal pain, Pain, Pyrexia, Sneezing — Feeling: Fair · 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 visit
    Free text: Mastitis accompanied with flu like symptoms. Headache, body aches, chills and fever. Then 3 weeks later, sore throat, coughing, sneezing, and drainage.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-27
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-01-28
  33. 2022-02-28
    Survey response — 3 months, dose 3
    MedDRA: Malaise — Feeling: Good
    Free text: Covid omicron symptoms
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna
32021-11-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-15 Unsuccessful
2022-01-27 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Noxious flatulence

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Painful cyst-like mobile lump on left clavicle

2021-01-27

Systemic reaction (other): Shot side, left supraclavicular lymph cluster swelling

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Swollen supraclavicular lymph nodes

2021-01-29

Systemic reaction (other): Swollen supraclavicular lymph nodes

2021-01-30

Systemic reaction (other): Swollen supraclavicular lymph nodes

2021-01-31

Systemic reaction (other): Swollen supraclavicular lymph nodes

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Swollen supraclavicular lymph nodes

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Unexplained hypertension with increased heart rate.

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Tinnitus and sinus drainage with sore throat and cough.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Mastitis accompanied with flu like symptoms. Headache, body aches, chills and fever. Then 3 weeks later, sore throat, coughing, sneezing, and drainage.

Release 11 — 3 months, dose 3

2022-02-28

Symptoms: Covid omicron symptoms

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
SDChills · · ✓
SDCough ✓ ✓ ✓
SDDischarge · · ✓
SDHeadache · · ✓
SDHeart rate increased ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDMastitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain · · ✓
SDParanasal sinus hypersecretion · · ✓
SDPyrexia · · ✓
SDSinus operation ✓ ✓ ○
SDSneezing · · ✓
SDTinnitus ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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