YNH-10453-42368
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 957 / CA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, NauseaAdult check-in
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Swelling face — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessFree text: My face feels swollen and my cheeks are itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · FeverFree text: Cheeks on face itches, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling, Itching · NoneAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-10
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 35, dose 2MedDRA: Chills, Cough, Dry throat, Dyspnoea, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Im not sure if its the change of weather, but in the last two weeks, my throat became sore, had some headaches, chills, coughs here and there. I feel congested. My throat feels dry and yesterday I had some trouble breathing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 35, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-05
Survey response — day 42, dose 2MedDRA: Asthenia, Cough, Headache, Illness, 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 · Emergency room or emergency department visitFree text: Im sick for about 3 weeks now coughing, head aches, and feeling weak. Not if COVID related. I did have a COVID test that was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 42, 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)
- 2021-05-24
- 2021-08-23
- 2022-01-10
- 2022-01-13
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-29 | Unsuccessful | |
| 2021-04-05 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My face feels swollen and my cheeks are itchy.
Systemic reaction (other): Cheeks on face itches, mild
Release 6 — day 35, dose 2
Symptoms: Im not sure if its the change of weather, but in the last two weeks, my throat became sore, had some headaches, chills, coughs here and there. I feel congested. My throat feels dry and yesterday I had some trouble breathing.
Release 7 — day 42, dose 2
Symptoms: Im sick for about 3 weeks now coughing, head aches, and feeling weak. Not if COVID related. I did have a COVID test that was negative.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release