YQX-19860-91086
5 vaccinations
5 coded responses
52 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 224 / VA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain in extremity — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain shot up and down both my arms for several minutes as the pain subsided acute fatigue set in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Foot fracture, Pain, Pre-existing disease, Sleep disorder — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingFree text: I broke my foot last year and it never healed correctly. I woke up in the middle of the night as if it was broken again in severe pain. I don't know if there's a correlation or not. I hadn't done anything strenuous the day before. Quite the contrary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: All symptoms occurred earlier in the morning. Now I am fine as of the afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
-
2021-09-09
Dose 3 — Moderna
- 2021-09-24
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: Arrhythmia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart arrhythmia presumed to be just due to my age.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
-
2022-05-09
Dose 4 — Moderna
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-24
- 2022-06-01
- 2022-06-06
- 2022-06-15
- 2022-06-20
- 2022-08-11
-
2022-10-16
Dose 5 — Moderna
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
-
2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Hunger — Feeling: Good · HeadacheFree text: Headache was most likely due to hunger...MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-22
- 2022-10-23
- 2022-10-31
- 2022-11-06
- 2022-11-15
- 2022-11-20
- 2022-11-29
- 2023-01-15
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-10-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-26 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain shot up and down both my arms for several minutes as the pain subsided acute fatigue set in.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I broke my foot last year and it never healed correctly. I woke up in the middle of the night as if it was broken again in severe pain. I don't know if there's a correlation or not. I hadn't done anything strenuous the day before. Quite the contrary.
Systemic reaction (other): All symptoms occurred earlier in the morning. Now I am fine as of the afternoon
Release 11 — 12 months, dose 2
Symptoms: Heart arrhythmia presumed to be just due to my age.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Headache was most likely due to hunger...
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 | Arrhythmia | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Foot fracture | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hunger | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release