YMK-11513-47629
5 vaccinations
12 coded responses
53 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 210 / MD
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
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2021-02-26
Survey response — day 14, dose 1MedDRA: Myalgia, Pain, Pre-existing disease — Feeling: GoodFree text: Increased muscle pain. A little more often than is normal for me. I had some muscle pain as a result of a 2009 car accident, and subsequent right & left shoulder surgeries. Pain clears with maintenance medication. Takes a little longer to clear now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 21, dose 1MedDRA: Discomfort, Myalgia — Feeling: GoodFree text: Muscle aches have increased significantly. Medications helps and I am able to function, with periodic discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-17
Dose 2 — Moderna
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Joint painsAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-03-24
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-31
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2021-04-07
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 28, dose 2MedDRA: Miliaria — Feeling: GoodFree text: Dry heat-like rash patches on my arms around the middle of the arms. I probably had for aweek before i noticed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 35, dose 2MedDRA: Miliaria, Rash, Rash pruritic — Feeling: GoodFree text: My tiny heat-like bumps ha e spread to my upper arms and itch more. I am considering seeing a doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Increased skin irritations. Prior irritations existed, but they appear to be worsening in general. Not sure if its related to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-15
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
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2021-12-09
Survey response — day 42, dose 3MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Rash on my mid-arm, inner elbow that appears to be spreading. I nticed it about 1.5 to 2 months ago. · Healthcare visit (other): I have an appointment for January.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-13
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-27
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2022-04-29
Dose 4 — Moderna
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2022-05-19
Survey response — day 14, dose 4MedDRA: Fatigue, Nausea, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: Fatigued, sore throat and slight nausia.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
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2022-06-03
Survey response — day 35, dose 4MedDRA: Fatigue, Oropharyngeal pain — Feeling: GoodFree text: Tired, sore throat, but maybe due to travel and allergies.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
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2022-07-29
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Influenza like illness, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for COVID-19 on 7/7/22. Experienced flu-like symptoms for 2 days. Tested Negative at home 7/15/22, then PCR-Negative on 7/19/22. All symptoms except infrequent cough & fatigue are gone.MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Dose 5 — Moderna
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2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-28
Survey response — 6 months, dose 4MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: I took the 5th booster on 10/22/2022. Felt fine for 3 days, then became fatigued on 10/20/2022.MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Health check-in — day 7, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2023-01-21
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2023-04-22
Survey response — 6 months, dose 5MedDRA: Chills — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-09 | Successful 2021-12-13 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 14, dose 1
Symptoms: Increased muscle pain. A little more often than is normal for me. I had some muscle pain as a result of a 2009 car accident, and subsequent right & left shoulder surgeries. Pain clears with maintenance medication. Takes a little longer to clear now. cut off by CDC
Release 5 — day 21, dose 1
Symptoms: Muscle aches have increased significantly. Medications helps and I am able to function, with periodic discomfort.
Release 7 — day 21, dose 2
Symptoms: Sore throat
Release 7 — day 28, dose 2
Symptoms: Dry heat-like rash patches on my arms around the middle of the arms. I probably had for aweek before i noticed.
Release 7 — day 35, dose 2
Symptoms: My tiny heat-like bumps ha e spread to my upper arms and itch more. I am considering seeing a doctor.
Release 9 — 3 months, dose 2
Symptoms: Increased skin irritations. Prior irritations existed, but they appear to be worsening in general. Not sure if its related to vaccination.
Release 10 — day 42, dose 3
Symptoms: Rash on my mid-arm, inner elbow that appears to be spreading. I nticed it about 1.5 to 2 months ago.
Healthcare visit (other): I have an appointment for January.
Release 11 — day 14, dose 4
Symptoms: Fatigued, sore throat and slight nausia.
Release 11 — day 35, dose 4
Symptoms: Tired, sore throat, but maybe due to travel and allergies.
Release 12 — 3 months, dose 4
Symptoms: I tested positive for COVID-19 on 7/7/22. Experienced flu-like symptoms for 2 days. Tested Negative at home 7/15/22, then PCR-Negative on 7/19/22. All symptoms except infrequent cough & fatigue are gone.
Release 12 — 6 months, dose 4
Symptoms: I took the 5th booster on 10/22/2022. Felt fine for 3 days, then became fatigued on 10/20/2022.
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 | Unevaluable event | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Miliaria | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release