YND-33456-28122
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 336 / FL
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R8J-12569-18572
Child or adolescent in my care · Male · 2021-11-10
QJW-16747-62758
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2021-01-04
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
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2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — day 7, dose 1MedDRA: Condition aggravated, Musculoskeletal pain, Pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activitiesFree text: The past 2 days I've had pain in the area of my right scapula with some radiation down the right arm. I have history of cervical radiculopathy on the right but wanted to mention the flare since it's within a week of getting the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Survey response — day 14, dose 1MedDRA: Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to workFree text: Developed URI symptoms on 1/13/21 (nasal congestion, sore throat, mild cough). Home based Pixel LabCorp COVID-19 PCR test negative on 1/15/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
-
2021-02-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Chest 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: Episodic chest pains, brief, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
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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: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
- 2022-04-22
-
2022-10-07
Dose 4 — Moderna
-
2022-10-07
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-10-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | priority 2/3 | |
| 2021-01-18 | priority 2/3 |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): The past 2 days I've had pain in the area of my right scapula with some radiation down the right arm. I have history of cervical radiculopathy on the right but wanted to mention the flare since it's within a week of getting the vaccine
Release 2 — day 14, dose 1
Symptoms: Developed URI symptoms on 1/13/21 (nasal congestion, sore throat, mild cough). Home based Pixel LabCorp COVID-19 PCR test negative on 1/15/21
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Episodic chest pains, brief, mild
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 | Cough | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release