YPU-58982-64562
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 993 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Moderna
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Headache — Feeling: Good · Headache, Fatigue or tiredness, NauseaFree text: Im great during the day, but around 9:00 at night I get a slight headache, a little upset stomach, but its very mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-04
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Headache, Nausea — Feeling: GoodFree text: I had a headache and a bit of nausea on March 12 and 13. Its the first time I had symptoms since the day after my second shot on Feb. 16 when I had a headache and a bit of nausea then, too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-10-06
Dose 3 — ModernaCo-administered: Flu
- 2021-10-24
- 2021-10-27
- 2021-11-05
- 2021-11-10
-
2021-11-19
Survey response — day 42, dose 3MedDRA: Injection site pruritus, Injection site warmth — Feeling: GoodFree text: Itchiness and warmth at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
-
2022-04-06
Survey response — 6 months, dose 3MedDRA: Chest pain, Gastrointestinal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Developed severe chest pains and digestive issues. Treated for ulcer and GERD. Have a follow up endoscopy and colonoscopy scheduled. · Healthcare visit (other): Follow up with primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-04-06
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-04-27
- 2022-05-03
-
2022-10-06
Survey response — 12 months, dose 3MedDRA: Bacterial infection, Cough, Ear infection, Fatigue, Headache, Muscle fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sinusitis — Feeling: Good · 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 tested positive for Covid September 27. I experienced congestion, headache, cough, muscle fatigue and overall fatigue/exhaustion. I subsequently ended up with a sinus infection, ear infection and bacterial nasal infection and sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
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)
- 2022-10-07
- 2022-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-06 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-06 | Unsuccessful | |
| 2022-10-06 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Im great during the day, but around 9:00 at night I get a slight headache, a little upset stomach, but its very mild.
Release 5 — day 28, dose 2
Symptoms: I had a headache and a bit of nausea on March 12 and 13. Its the first time I had symptoms since the day after my second shot on Feb. 16 when I had a headache and a bit of nausea then, too.
Release 10 — day 42, dose 3
Symptoms: Itchiness and warmth at the injection site
Release 11 — 6 months, dose 3
Symptoms: Developed severe chest pains and digestive issues. Treated for ulcer and GERD. Have a follow up endoscopy and colonoscopy scheduled.
Healthcare visit (other): Follow up with primary care physician
Release 12 — 12 months, dose 3
Symptoms: I tested positive for Covid September 27. I experienced congestion, headache, cough, muscle fatigue and overall fatigue/exhaustion. I subsequently ended up with a sinus infection, ear infection and bacterial nasal infection and sore throat.
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 | Bacterial infection | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site warmth | · | · | ✓ |
| SD | Muscle fatigue | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release