YMV-33515-05967
5 vaccinations
15 coded responses
67 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Registered in v-safe
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2021-03-15
Dose 1 — Moderna
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2021-03-15
Survey response — day 0, dose 1MedDRA: Feeling cold — Feeling: Good · Fatigue or tirednessFree text: No chills just coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-04-15
Dose 2 — Moderna
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2021-04-15
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Dizzy 1 hour after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: On and off ringing in right earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: I notice that I get dizzy mid morning since my vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Still having intermittent ringing in right ear that began after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 21, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Same ringing in ears since vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
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2021-10-22
Dose 3 — Moderna
- 2021-10-22
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2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swelling under armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2022-01-21
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2022-04-22
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: Good · 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 visitFree text: Have had a terrible cold for over a weekMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
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2022-04-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-20
Dose 4 — Moderna
- 2022-05-20
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2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-04
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
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2022-08-21
Survey response — 3 months, dose 4MedDRA: Ageusia, Anosmia, Fatigue, Malaise, Mobility decreased, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for Covid on July 31. I was in bed for 5 days, lost taste and smell, fever for one day, fatigue and malaise.MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Dose 5 — Moderna
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2022-10-29
Survey response — day 0, dose 5MedDRA: Body temperature increased, Feeling cold — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I was registering 95.6 on two different thermometers and was freezing a few hours after the shot.MedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: FreezingMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
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2022-11-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-02
- 2022-11-04
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 21, dose 5MedDRA: Unevaluable event — Feeling: FairFree text: I think I'm coming down with something.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
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2022-12-03
Survey response — day 35, dose 5MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, fatigue, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
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2023-04-29
Survey response — 6 months, dose 5MedDRA: Nasopharyngitis — 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 | 2021-03-15 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Successful 2022-04-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No chills just cold
Release 7 — day 0, dose 2
Systemic reaction (other): Dizzy 1 hour after vaccine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): On and off ringing in right ear
Systemic reaction (other): I notice that I get dizzy mid morning since my vaccine
Release 8 — day 14, dose 2
Symptoms: Still having intermittent ringing in right ear that began after vaccine
Release 8 — day 21, dose 2
Symptoms: Same ringing in ears since vaccine
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node swelling under arm
Release 11 — 6 months, dose 3
Symptoms: Have had a terrible cold for over a week
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
Release 12 — 3 months, dose 4
Symptoms: Tested positive for Covid on July 31. I was in bed for 5 days, lost taste and smell, fever for one day, fatigue and malaise.
Release 12 — day 0, dose 5
Systemic reaction (other): I was registering 95.6 on two different thermometers and was freezing a few hours after the shot.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Freezing
Release 12 — day 21, dose 5
Symptoms: I think I'm coming down with something.
Release 12 — day 35, dose 5
Symptoms: Sore throat, fatigue, congestion
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release