YN7-10426-54932
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 840 / UT
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2021-02-12
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain in extremity — Feeling: Good · Muscle or body achesFree text: The arm I had the injection in has aches in the elbow and wrist and the muscles around the elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymph node pain — Feeling: GoodFree text: Lymph glands in underarm of injection arm sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Office visit — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Injection was given too high. I had to see a dr today because I couldnt move my arm at the shoulder. Shot did not go into the shoulder joint but was high up into the tendon. · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shoulder joint very achy this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-24
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2021-03-31
Survey response — day 21, dose 2MedDRA: Dizziness, Office visit, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme dizziness with vomiting. · Healthcare visit (other): My physical therapist did testing to rule out BPPV. I didnt have it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
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2021-04-14
Survey response — day 35, dose 2MedDRA: Petechiae, Pruritus, Rash — Feeling: GoodFree text: Itching on top of both feet. I got it after the second shot and just thought it would go away but I still have a rash... small petechiae that itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-06-09
- 2021-09-08
- 2022-03-02
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-11 | Unsuccessful | |
| 2021-03-31 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The arm I had the injection in has aches in the elbow and wrist and the muscles around the elbow.
Systemic reaction (other): Lymph glands in underarm of injection arm sore.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Injection was given too high. I had to see a dr today because I couldnt move my arm at the shoulder. Shot did not go into the shoulder joint but was high up into the tendon.
Healthcare visit (other): Dr office
Systemic reaction (other): Shoulder joint very achy this morning.
Release 6 — day 21, dose 2
Symptoms: Extreme dizziness with vomiting.
Healthcare visit (other): My physical therapist did testing to rule out BPPV. I didnt have it.
Release 7 — day 35, dose 2
Symptoms: Itching on top of both feet. I got it after the second shot and just thought it would go away but I still have a rash... small petechiae that itch.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release