YN8-73132-10927
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
-
2021-03-10
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Good · Site: PainFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Presyncope — Feeling: Fair · Site: Pain · HeadacheFree text: Lightheaded, nearly fainted this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Cough, Fatigue, Headache, Medical counselling, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I came down with a cold - stuffy nose, sore throat, cough, fatigue, and headache - 5 days ago that is lingering. I tested negative for covid when my symptoms began in March 19. I missed 1 day of work. · Healthcare visit (other): MyChart messageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, 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)
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Fatigue
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded, nearly fainted this morning
Release 6 — day 14, dose 1
Symptoms: I came down with a cold - stuffy nose, sore throat, cough, fatigue, and headache - 5 days ago that is lingering. I tested negative for covid when my symptoms began in March 19. I missed 1 day of work.
Healthcare visit (other): MyChart message
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Presyncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release