YNK-26484-82319
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 660 / KS
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-22
- 2021-01-30
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Very mild headache and nausea, did not interrupt workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-16
- 2021-02-17
- 2021-02-19
- 2021-02-25
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Headache, Nasal congestion, Sneezing — Feeling: GoodFree text: Sneezing. Mild headache. Small nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Eye pruritus, Headache, Sneezing, Throat irritation — Feeling: GoodFree text: Sneezing, itchy eyes and throat, slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Eye pruritus, Feeling abnormal, Hypersensitivity, Nasal congestion, Ocular hyperaemia, Pre-existing disease, Self-medication, Sneezing, Throat irritation — Feeling: GoodFree text: Sneezing, itchy throat and eyes, red eyes, nasal ingestion. After hiking on a Wendy day, I had allergy symptoms I had never experienced to this degree. Occurred on weekend and was able to self medicate and go to work but felt poorlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Laryngitis, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, laryngitis, chest and nasal congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-01
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-12 | Successful 2021-12-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 21, dose 1
Symptoms: Fatigue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild headache and nausea, did not interrupt work
Release 5 — day 21, dose 2
Symptoms: Sneezing. Mild headache. Small nasal congestion
Release 5 — day 28, dose 2
Symptoms: Sneezing, itchy eyes and throat, slight headache
Release 6 — day 42, dose 2
Symptoms: Sneezing, itchy throat and eyes, red eyes, nasal ingestion. After hiking on a Wendy day, I had allergy symptoms I had never experienced to this degree. Occurred on weekend and was able to self medicate and go to work but felt poorly
Release 9 — 6 months, dose 2
Symptoms: Sore throat, laryngitis, chest and nasal congestion
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 | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Laryngitis | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release