YMQ-21283-37320
5 vaccinations
4 coded responses
65 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 564 / MN
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Joint painsFree text: I live with Rheumatoid Arthritis so joint pain is not abnormal, however seems to have flared/increased in severity since I received vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — day 35, dose 1MedDRA: Migraine, Office visit, Pre-existing disease, Vision blurred, Vomiting — Feeling: Good · Be unable to work, 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: Severe migraine headache with vomiting and blurred vision on 2/19 requiring doctors visit and medication injections of Imotrex and Toradol plus oral Zofran & Benadry. Hx of migraines but have not had one for 3-4 years. Not sure what caused this one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 35, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessFree text: Swollen lymph nodes in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-09-08
Dose 3 — Moderna
- 2021-09-08
-
2021-09-09
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen and sore lymph nodes under injection site armMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
-
2021-09-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-09-12
- 2021-09-14
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
- 2021-10-20
-
2021-11-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-08
- 2022-03-09
-
2022-03-14
Dose 4 — Moderna
- 2022-03-14
-
2022-03-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-03-16
- 2022-03-17
-
2022-03-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-03-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2022-03-20
- 2022-03-21
- 2022-03-28
- 2022-04-04
- 2022-04-11
- 2022-04-18
- 2022-04-25
- 2022-06-13
- 2022-09-12
-
2022-10-28
Dose 5 — ModernaCo-administered: Flu
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2023-01-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
| 4 | 2022-03-14 | Moderna | No |
| 5 | 2022-10-28 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-23 | Successful 2021-11-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I live with Rheumatoid Arthritis so joint pain is not abnormal, however seems to have flared/increased in severity since I received vaccine.
Release 4 — day 35, dose 1
Symptoms: Severe migraine headache with vomiting and blurred vision on 2/19 requiring doctors visit and medication injections of Imotrex and Toradol plus oral Zofran & Benadry. Hx of migraines but have not had one for 3-4 years. Not sure what caused this one. cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in neck
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen and sore lymph nodes under injection site arm
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 | Migraine | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release