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YNH-69962-46903

5 vaccinations 12 coded responses 51 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
121 / NY
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness
    Free text: No. Just couldnt sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities
    Free text: Oddly,my husband & I have both bee having vertigo for the last 3 days (??)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Dose 2 — Moderna
  14. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  15. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: The chills were severe during the night. Tolerable now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-08
    Survey response — day 7, dose 2
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches
    Free text: Should we be concerned if we both woke up with VERY stiff necks today. We did nothing yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-22
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Im not sure its related or coincidence but it did start a few days after shot #2. Joint pain in the larger joints. Muscle aches everywhere. Every day. Worse at night. Thought it would have stopped by now. ??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-30
    Survey response — 6 months, dose 2
    MedDRA: Migraine, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: increased migraines · Healthcare visit (other): appt with GP
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-09-30
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-12-07
    Dose 3 — Moderna
  31. 2021-12-10
  32. 2021-12-15
  33. 2022-04-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  34. 2022-04-29
    Dose 4 — Moderna
  35. 2022-04-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities
    Adult check-in
  36. 2022-05-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  37. 2022-05-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Vertigo — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-05-06
    Survey response — day 7, dose 4
    MedDRA: Vertigo — Feeling: Good · Muscle or body aches
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-13
    Survey response — day 14, dose 4
    MedDRA: Headache, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Nasty headache with the vertigo
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-27
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-03
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  46. 2022-06-10
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-29
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-10-24
    Dose 5 — Moderna
  49. 2022-10-28
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-10-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  52. 2022-10-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  53. 2022-10-31
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  54. 2022-11-07
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-11-14
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-11-21
    Survey response — day 28, dose 5
    MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities
    Free text: I doubt it has anything to do with the booster.
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-11-28
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-12-05
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  59. 2023-01-23
    Survey response — 3 months, dose 5
    MedDRA: Pneumonia — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  60. 2023-04-24
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna
32021-12-07Moderna No
42022-04-29Moderna No
52022-10-24Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-30 Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): No. Just couldnt sleep.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Oddly,my husband & I have both bee having vertigo for the last 3 days (??)

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): The chills were severe during the night. Tolerable now.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Should we be concerned if we both woke up with VERY stiff necks today. We did nothing yesterday.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Im not sure its related or coincidence but it did start a few days after shot #2. Joint pain in the larger joints. Muscle aches everywhere. Every day. Worse at night. Thought it would have stopped by now. ??

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: increased migraines
Healthcare visit (other): appt with GP

Release 11 — days 1–6 daily, dose 4

2022-05-04

Systemic reaction (other): Vertigo

2022-05-05

Systemic reaction (other): Vertigo

Release 11 — day 7, dose 4

2022-05-06

Systemic reaction (other): Vertigo

Release 11 — day 14, dose 4

2022-05-13

Symptoms: Nasty headache with the vertigo

Release 12 — day 28, dose 5

2022-11-21

Symptoms: I doubt it has anything to do with the booster.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDHeadache · · ✓
SDMigraine · · ✓
SDMyalgia ✓ ✓ ✓
SDPneumonia · · ✓
SDUnevaluable event · · ✓
SDVertigo · · ✓
SROChills ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release