YP9-20734-37540
3 vaccinations
4 coded responses
11 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
- 2021-03-05
-
2021-03-06
Dose 2 — Moderna
- 2021-03-11
-
2021-03-15
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-29
- 2021-04-04
- 2021-04-12
- 2021-04-19
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Cystitis, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got a bladder infection and have just felt kinda sickly for couple weeks.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Dose 3 — Moderna
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: Asthenia, Cardiac disorder, Heart rate increased, Heart rate irregular, Hypotension, Malaise, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been having some heart problems like irregular heartbeat high and low blood pressure and just a feeling of not feeling well. I do take heart medication and I have a pacemaker. I have very low energy since my booster shot. · Healthcare visit (other): Office visit with heart DrMedDRA releases: 2024-11 · check-in free text available
-
2022-03-08
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-10
-
2022-11-09
Survey response — 12 months, dose 3MedDRA: COVID-19, Insomnia, Malaise, Pyrexia, SARS-CoV-2 test positive, Somnolence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Got Covid Nov 2 was really sick with 102 temp for 2 days. Have improved considerably but still testing positive. Slept for those two days but having hard time sleeping ever since. No prob with breathing.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-10
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-08 | Unsuccessful | |
| 2022-11-09 | Unsuccessful |
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): No
Release 9 — 6 months, dose 2
Symptoms: Got a bladder infection and have just felt kinda sickly for couple weeks.
Release 11 — 12 months, dose 2
Symptoms: I have been having some heart problems like irregular heartbeat high and low blood pressure and just a feeling of not feeling well. I do take heart medication and I have a pacemaker. I have very low energy since my booster shot.
Healthcare visit (other): Office visit with heart Dr
Release 12 — 12 months, dose 3
Symptoms: Got Covid Nov 2 was really sick with 102 temp for 2 days. Have improved considerably but still testing positive. Slept for those two days but having hard time sleeping ever since. No prob with breathing.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release