YNB-28732-89675
5 vaccinations
11 coded responses
63 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-22
- 2021-01-29
- 2021-02-05
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2021-02-12
Dose 2 — Moderna
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Injection site painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · HeadacheFree text: Wrist painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-03-14
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue. Could be that I'm working 11 hour days without breaks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 35, dose 2MedDRA: Pain in extremity, Peripheral coldness, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: my hands and feet are very cold. So cold they hurt. have Graves disease. My endocrinologist is telling me that I need some more medicine. I think my symptoms are related to my normal underlying health condition and endo agreesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Survey response — day 42, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have Graves disease. I had radioactive iodine four years ago. Therefore I take levithyroxine daily. My TSH is up to seven and I need an adjustment to my dose. My endocrinologist and I do not think this is anything to do with the covid-19 vaccine. HMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-08-13
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2021-11-22
Dose 3 — Moderna
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2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2021-12-23
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-27
- 2022-01-03
- 2022-02-21
- 2022-05-23
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2022-06-13
Dose 4 — Moderna
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2022-06-13
Survey response — day 0, dose 4MedDRA: Brain fog — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Mental fogMedDRA releases: 2024-11 · check-in free text available
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2022-06-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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 visitAdult check-in
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2022-06-14
Report sent to call center — days 1–6 daily, dose 4Be 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)
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2022-06-15
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-06-15
Call successfulDoes not wish to fill out VAERS report
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2022-06-16
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mental fogMedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-06-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-19
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-07-25
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2022-09-12
Survey response — 3 months, dose 4MedDRA: Gastrooesophageal reflux disease, Office visit, Stress, Weight decreased, X-ray gastrointestinal tract abnormal — Feeling: Good · Be unable to work or attend schoolFree text: Mild GERD caused 10blb weight loss. Saw my own PCP who checked me and ordered an Upper GI/fluro with confirmed dx. Feeling better on PPI I think the stress of being a health care provider at a large FQHC with the new Monkeypox thing is stressing me.MedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Dose 5 — Pfizer-BioNTech
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2022-09-26
Survey response — day 0, dose 5MedDRA: Malaise — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Generally unwellMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2022-09-27
Report sent to call center — days 1–6 daily, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mentally foggyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
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2022-09-28
Call successfulDoes not wish to fill out VAERS report
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2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
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2022-12-26
Survey response — 3 months, dose 5MedDRA: Microcytic anaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Microcytic anemiaMedDRA releases: 2024-11 · check-in free text available
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2022-12-26
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-28
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-06-13 | Moderna | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-19 | Successful 2021-12-23 |
Participant prefers to complete VAERS report online |
| 2022-06-14 | Successful 2022-06-15 |
Does not wish to fill out VAERS report |
| 2022-09-27 | Successful 2022-09-28 |
Does not wish to fill out VAERS report |
| 2022-12-26 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site pain
Systemic reaction (other): Wrist pain
Release 5 — day 28, dose 2
Symptoms: Fatigue. Could be that I'm working 11 hour days without breaks.
Release 5 — day 35, dose 2
Symptoms: my hands and feet are very cold. So cold they hurt. have Graves disease. My endocrinologist is telling me that I need some more medicine. I think my symptoms are related to my normal underlying health condition and endo agrees
Release 6 — day 42, dose 2
Symptoms: I have Graves disease. I had radioactive iodine four years ago. Therefore I take levithyroxine daily. My TSH is up to seven and I need an adjustment to my dose. My endocrinologist and I do not think this is anything to do with the covid-19 vaccine. H cut off by CDC
Release 12 — day 0, dose 4
Systemic reaction (other): Mental fog
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Mental fog
Release 12 — 3 months, dose 4
Symptoms: Mild GERD caused 10blb weight loss. Saw my own PCP who checked me and ordered an Upper GI/fluro with confirmed dx. Feeling better on PPI I think the stress of being a health care provider at a large FQHC with the new Monkeypox thing is stressing me. cut off by CDC
Release 12 — day 0, dose 5
Systemic reaction (other): Generally unwell
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Mentally foggy
Release 12 — 3 months, dose 5
Symptoms: Microcytic anemia
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Microcytic anaemia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SD | X-ray gastrointestinal tract abnormal | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release