YP5-18723-73482
4 vaccinations
9 coded responses
42 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 271 / NC
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: A little residual bruise feeling on arm to the touch but much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Sinus headache — Feeling: Fair · HeadacheFree text: Probably sinus headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Ear pain, Headache, Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection and head/ear ache. Treated with Amoxicillin. Negative Covid test. Doctor insisted on test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Sinus disorder, Sleep disorder — Feeling: Fair · Headache, Fatigue or tirednessFree text: Possibly sinus related issues and lack of sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-07-29
- 2021-08-27
-
2021-10-22
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Malaise, Pyrexia — Feeling: GoodFree text: Was very sick with fever the day after the vaccine. Walgreens gave a full dose rather than .50 as CDC recommended.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Throat irritation — Feeling: FairFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · HeadacheFree text: Allergy symptoms onlyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Fatigue, Sinusitis — Feeling: FairFree text: Fatigue and sinus infection symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Survey response — day 35, dose 3MedDRA: Rhinorrhoea, Sinus disorder — Feeling: GoodFree text: Runny nose sinus symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-01-21
-
2022-04-03
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-24
- 2022-05-01
- 2022-05-10
- 2022-05-15
- 2022-07-03
- 2022-10-02
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-12 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A little residual bruise feeling on arm to the touch but much better
Systemic reaction (other): Probably sinus headache
Release 4 — day 14, dose 1
Symptoms: Sinus infection and head/ear ache. Treated with Amoxicillin. Negative Covid test. Doctor insisted on test.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Possibly sinus related issues and lack of sleep
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Was very sick with fever the day after the vaccine. Walgreens gave a full dose rather than .50 as CDC recommended.
Systemic reaction (other): Scratchy throat
Release 10 — day 7, dose 3
Systemic reaction (other): Allergy symptoms only
Release 10 — day 28, dose 3
Symptoms: Fatigue and sinus infection symptoms
Release 10 — day 35, dose 3
Symptoms: Runny nose sinus symptoms
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Incorrect dose administered | · | · | ○ |
| SRO | Insomnia | ✓ | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Sinus disorder | ○ | ✓ | ○ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ○ | ✓ | ○ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release