YQ9-36366-13877
3 vaccinations
6 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
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2021-04-19
Dose 2 — Moderna
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2021-04-21
Registered in v-safe
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Dysstasia, Fatigue, Feeling abnormal, Gait disturbance, Hot flush, Insomnia, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Brain fog, difficulty standing or moving around without getting shaky, hot flashes when standing up, extreme difficulty sleeping despite being incredibly tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-23
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Diverticulitis, Diverticulum intestinal — 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: I developed diverticuli in my colon and experienced a mild case of diverticulitis about three months ago.MedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-20
- 2021-10-25
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2022-02-11
Dose 3 — Moderna
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2022-02-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: The lymph node on the side where I got the shot is swollen to the size of an orange and it's extremely tender!MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My lymph node on the side I got the shot is still very, very swollen and tender to the point of pain whenever I shift that arm!!MedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Survey response — days 1–6 daily, dose 3MedDRA: Angina pectoris, Heart rate increased — Feeling: Good · Site: Pain, SwellingFree text: I am experiencing a very tiny twinge in my heart accompanied by what seems like a slightly increased heart rate. This started after I performed a minimally strenuous physical task. But I've never experienced anything like it before.MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Health check-in — day 7, dose 3Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-02-25
Survey response — day 14, dose 3MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My lymph node in the arm I got my booster is still swollen and I still feel generally fatigued everyday in comparison to before the booster.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2022-02-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-18 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog, difficulty standing or moving around without getting shaky, hot flashes when standing up, extreme difficulty sleeping despite being incredibly tired
Release 10 — 6 months, dose 2
Symptoms: I developed diverticuli in my colon and experienced a mild case of diverticulitis about three months ago.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): The lymph node on the side where I got the shot is swollen to the size of an orange and it's extremely tender!
Systemic reaction (other): My lymph node on the side I got the shot is still very, very swollen and tender to the point of pain whenever I shift that arm!!
Systemic reaction (other): I am experiencing a very tiny twinge in my heart accompanied by what seems like a slightly increased heart rate. This started after I performed a minimally strenuous physical task. But I've never experienced anything like it before.
Release 11 — day 14, dose 3
Symptoms: My lymph node in the arm I got my booster is still swollen and I still feel generally fatigued everyday in comparison to before the booster.
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 | Diverticulitis | · | · | ✓ |
| SD | Diverticulum intestinal | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SRO | Angina pectoris | · | · | ✓ |
| SRO | Dysstasia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release