YPH-29954-04517
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 066 / CT
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Ongoing low back/bilateral hip pain onset prior to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain — Feeling: GoodFree text: Pre vaccine low back/bilateral hip painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
-
2021-03-24
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal painAdult check-in
- 2021-03-31
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 28, dose 2MedDRA: Lymphadenopathy, Medical counselling, Oropharyngeal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen gland left side neck with throat discomfort. · Healthcare visit (other): Phone call tobPCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-12-06
Dose 3 — Moderna
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-20
-
2021-12-27
Survey response — day 21, dose 3MedDRA: Electric shock sensation, Pain — Feeling: FairFree text: Sporadic flashes of electric type pain in different areas of body.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-02-22
-
2022-03-08
Survey response — 3 months, dose 3MedDRA: Office visit, Oropharyngeal discomfort, SARS-CoV-2 test negative, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: One sided throat discomfort from mid January; went for PCR test 1/26, negative for Covid. Consult w/ENT 3/7, nothing of note; most likely reflux related · Healthcare visit (other): Consult ENTMedDRA releases: 2024-11 · check-in free text available
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2022-03-08
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-11
- 2022-06-08
-
2022-12-08
Survey response — 12 months, dose 3MedDRA: Condition aggravated, Muscle strain, Pre-existing disease — Feeling: Fair · 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: L shoulder strain from overuse to an area previously injured in lifting 3/2015MedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-09
- 2022-12-09
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful | |
| 2022-03-08 | Unsuccessful | |
| 2022-12-08 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Ongoing low back/bilateral hip pain onset prior to vaccine
Systemic reaction (other): Pre vaccine low back/bilateral hip pain
Release 7 — day 28, dose 2
Symptoms: Swollen gland left side neck with throat discomfort.
Healthcare visit (other): Phone call tobPCP
Release 10 — day 21, dose 3
Symptoms: Sporadic flashes of electric type pain in different areas of body.
Release 11 — 3 months, dose 3
Symptoms: One sided throat discomfort from mid January; went for PCR test 1/26, negative for Covid. Consult w/ENT 3/7, nothing of note; most likely reflux related
Healthcare visit (other): Consult ENT
Release 12 — 12 months, dose 3
Symptoms: L shoulder strain from overuse to an area previously injured in lifting 3/2015
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Electric shock sensation | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release