YQC-20260-58515
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 504 / IA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
-
2021-05-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
-
2021-05-21
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: Just been feeling really tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Survey response — day 21, dose 2MedDRA: Nodule — Feeling: FairFree text: Every since i got the shot bumps been coming and turning into soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-11
-
2021-06-18
Survey response — day 42, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My legs been hurting bad · Healthcare visit (other): Went to doctor and chiropractor nothing seem to be workingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
-
2021-08-06
Survey response — 3 months, dose 2MedDRA: Skin discolouration, Skin lesion — Feeling: FairFree text: I started getting soars popping up on my body ever since the shot thought it would go away but keep coming like start off as a bump a bust but leave dark marks on bodyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-07
-
2022-05-07
Survey response — 12 months, dose 2MedDRA: Pain in extremity, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Legs hurting and keep breaking out been breaking out every since i hot the shotMedDRA releases: 2024-11 · check-in free text available
-
2022-05-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-09
-
2022-05-09
Callback requested for07:00PM ET
- 2022-05-09
-
2022-05-09
Callback requested for07:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-18 | Unsuccessful | |
| 2022-05-07 | Unsuccessful |
Free text
Release 8 — day 14, dose 2
Symptoms: Just been feeling really tired
Release 8 — day 21, dose 2
Symptoms: Every since i got the shot bumps been coming and turning into sores
Release 9 — day 42, dose 2
Symptoms: My legs been hurting bad
Healthcare visit (other): Went to doctor and chiropractor nothing seem to be working
Release 9 — 3 months, dose 2
Symptoms: I started getting soars popping up on my body ever since the shot thought it would go away but keep coming like start off as a bump a bust but leave dark marks on body
Release 11 — 12 months, dose 2
Symptoms: Legs hurting and keep breaking out been breaking out every since i hot the shot
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Skin discolouration | ✓ | · | ✓ |
| SD | Skin lesion | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release