YNU-37894-21431
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 989 / WA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Vertigo — Feeling: Good · Site: PainFree text: Felt like I had vertigo yesterday a couple times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-13
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Arthralgia, Paraesthesia, Pruritus — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body achesFree text: Strange isolates tingle soots like itching, and sharp sudden but short lived joint pain. A bit of anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Dehydration, Diarrhoea, Disturbance in attention, Dyspepsia, Nausea — Feeling: Fair · Be unable to work or attend schoolFree text: Nausea, diarea, indigestion, upset stomach, dehydration, trouble concentrating.NO FEVER!MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Arthralgia, Ligament pain, Malaise, Viral upper respiratory tract infection — Feeling: Good · 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 visitFree text: I got sick with 2 upper respiratory viral infections. One in Nov and the other in Dec 2021, only 3 weeks between episodes. Also have experienced tight ligiments and pain. My joints stared hurting intensely, especially in mornings.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Be 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)
-
2022-03-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Successful 2022-03-22 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Felt like I had vertigo yesterday a couple times.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Strange isolates tingle soots like itching, and sharp sudden but short lived joint pain. A bit of anxiety.
Release 9 — 6 months, dose 2
Symptoms: Nausea, diarea, indigestion, upset stomach, dehydration, trouble concentrating.NO FEVER!
Release 11 — 12 months, dose 2
Symptoms: I got sick with 2 upper respiratory viral infections. One in Nov and the other in Dec 2021, only 3 weeks between episodes. Also have experienced tight ligiments and pain. My joints stared hurting intensely, especially in mornings.
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Dehydration | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Disturbance in attention | ✓ | · | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Ligament pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release