YP9-27427-21488
5 vaccinations
14 coded responses
62 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
-
2021-04-14
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I just got the vaccine 15 minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Dry mouth and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-06
-
2021-05-10
Dose 2 — Moderna
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Dry skin, Fatigue, Hypersensitivity, Oropharyngeal pain, Pruritus, Psychomotor hyperactivity — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Itchy on random places on my body, sore throat, allergy like symptoms, left eye twitching for about 2 hours, face got really dry and itchy around blemish areas and hours later blemishes were better/healing/disappear (this happened with the first shot, too), hyper- high energy for about 8 hours before the fatigue set in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth, Pruritus, Thirst — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very thirsty the past two days - dry mouth, itching on my elbow area the past 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Muscle or body achesAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-24
- 2021-06-01
- 2021-06-07
- 2021-06-14
-
2021-06-21
Survey response — day 42, dose 2MedDRA: Asthenia, Fatigue, Gastroenteritis viral, Myalgia, Nausea, Pain, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a stomach virus - nausea and vomiting (muscle aches and pain from intense vomiting and then exhaustion and low energy for a few days). Its getting better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-09
Survey response — 3 months, dose 2MedDRA: Fatigue, Influenza like illness, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold/Flu like symptoms for about 3 days, but was exhausted every day for about two weeks after. My son (also vaccinated same day and place I was w/ same vaccine) had similar cold/flu a few days later but had more congestion and not the exhaustion.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-10
-
2021-12-28
Dose 3 — Moderna
- 2021-12-28
-
2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-12-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-26
- 2022-02-01
-
2022-02-10
Survey response — day 42, dose 3MedDRA: Allergic respiratory symptom, Pre-existing disease, Respiratory tract congestion, Sinus headache, Therapeutic response unexpected — Feeling: Good · Be unable to do your normal daily activitiesFree text: After vaccination all my allergies & sinus issues (regular chronic severe sinus headaches & congestion) disappeared. Last week for the first time since initial vaccination I had sinus headaches and congestion & allergy symptoms (both very mild).MedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-05-14
Dose 4 — Moderna
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2022-05-20
-
2022-05-23
Health check-in — day 7, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-28
Survey response — day 14, dose 4MedDRA: Headache, Vertigo, Vertigo positional — Feeling: GoodFree text: I started getting vertigo and mild headaches last Friday night. The vertigo is only when I go from standing to lying down (to get in bed). Haven't noticed it otherwise. The headaches are late night & early morning. Both happen every day.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Survey response — day 21, dose 4MedDRA: Injection site pain, Vertigo positional — Feeling: GoodFree text: Soreness in the area of my injection. It randomly started hurting about a week ago. I'm also still getting vertigo if I go from standing to lying down too quickly. I also get it when I turn over from one side to the next too quickly.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-11
Survey response — day 28, dose 4MedDRA: Limb mass, Peripheral swelling, Tenderness, Vertigo — Feeling: GoodFree text: Vertigo is better but still have it. Arm of injection developed a swollen sore to the touch small bump/knot exact point of injection but on the inner side of arm - not the outside where injection was.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-18
- 2022-06-26
- 2022-08-13
-
2022-09-07
Dose 5 — Moderna
-
2022-09-07
Health check-in — day 0, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-09-08
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Itching that's not at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2022-09-12
-
2022-09-16
Health check-in — day 7, dose 5Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-09-21
- 2022-09-28
- 2022-10-07
-
2022-10-15
Survey response — day 35, dose 5MedDRA: Dizziness, Gastrointestinal disorder, Headache, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nausea, headaches, minor stomach issues dizziness on and off for about 2-3 weeks. It's not consistent. Just happens out of the blue.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
-
2022-12-07
Survey response — 3 months, dose 5MedDRA: Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold/Flu about a month ago.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-08
Survey response — 6 months, dose 5MedDRA: Accident at work, Fall, Office visit, Spinal X-ray abnormal, Spinal disorder, Spinal osteoarthritis — 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 visitMedDRA releases: 2024-11
-
2023-03-08
Report sent to call center — 6 months, dose 5Be 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)
-
2023-03-09
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-10 | Moderna | |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-08 | Successful 2023-03-09 |
Not applicable - Accidental Reporting |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): I just got the vaccine 15 minutes ago.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth and sore throat
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy on random places on my body, sore throat, allergy like symptoms, left eye twitching for about 2 hours, face got really dry and itchy around blemish areas and hours later blemishes were better/healing/disappear (this happened with the first shot, too), hyper- high energy for about 8 hours before the fatigue set in.
Systemic reaction (other): Very thirsty the past two days - dry mouth, itching on my elbow area the past 2 days
Release 9 — day 42, dose 2
Symptoms: Had a stomach virus - nausea and vomiting (muscle aches and pain from intense vomiting and then exhaustion and low energy for a few days). Its getting better now.
Release 9 — 3 months, dose 2
Symptoms: Cold/Flu like symptoms for about 3 days, but was exhausted every day for about two weeks after. My son (also vaccinated same day and place I was w/ same vaccine) had similar cold/flu a few days later but had more congestion and not the exhaustion.
Release 11 — day 42, dose 3
Symptoms: After vaccination all my allergies & sinus issues (regular chronic severe sinus headaches & congestion) disappeared. Last week for the first time since initial vaccination I had sinus headaches and congestion & allergy symptoms (both very mild).
Release 11 — day 14, dose 4
Symptoms: I started getting vertigo and mild headaches last Friday night. The vertigo is only when I go from standing to lying down (to get in bed). Haven't noticed it otherwise. The headaches are late night & early morning. Both happen every day.
Release 11 — day 21, dose 4
Symptoms: Soreness in the area of my injection. It randomly started hurting about a week ago. I'm also still getting vertigo if I go from standing to lying down too quickly. I also get it when I turn over from one side to the next too quickly.
Release 12 — day 28, dose 4
Symptoms: Vertigo is better but still have it. Arm of injection developed a swollen sore to the touch small bump/knot exact point of injection but on the inner side of arm - not the outside where injection was.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Itching that's not at injection site
Release 12 — day 35, dose 5
Symptoms: Nausea, headaches, minor stomach issues dizziness on and off for about 2-3 weeks. It's not consistent. Just happens out of the blue.
Release 12 — 3 months, dose 5
Symptoms: Cold/Flu about a month ago.
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 | Accident at work | · | · | ✓ |
| SD | Allergic respiratory symptom | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza like illness | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Spinal disorder | · | · | ✓ |
| SD | Spinal osteoarthritis | · | · | ✓ |
| SD | Spinal X-ray abnormal | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SD | Therapeutic response unexpected | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Psychomotor hyperactivity | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release