YR5-23994-72380
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 580 / ND
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Constipation — Feeling: GoodFree text: Constipation worse than ever in my life but my life is also busy and I started a higher dose of ADD med. I feel very strongly that this is not vaccine related, but I cannot be 100% sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Dehydration, Headache, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Horrible cold I cant shake. Started with sniffles and within a day, had a fever and felt/sounded horrible. Still do. Day 4 of headache...thinking I'm dehyrated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: COVID-19, Fatigue, Headache, Nasopharyngitis, Nausea, Pain, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, 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: Had covid...headache day 1, extreme fatigue and nausea w fever day 2, horrible aches and pains and fever day 3 & part of 4. Cold symptoms with loose congestion & productive cough started day 4. Had the infusion on day 4. Headache & fatigue next fullMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-07 | Successful 2022-04-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 21, dose 1
Symptoms: Constipation worse than ever in my life but my life is also busy and I started a higher dose of ADD med. I feel very strongly that this is not vaccine related, but I cannot be 100% sure.
Release 8 — day 42, dose 2
Symptoms: Horrible cold I cant shake. Started with sniffles and within a day, had a fever and felt/sounded horrible. Still do. Day 4 of headache...thinking I'm dehyrated.
Release 11 — 12 months, dose 2
Symptoms: Had covid...headache day 1, extreme fatigue and nausea w fever day 2, horrible aches and pains and fever day 3 & part of 4. Cold symptoms with loose congestion & productive cough started day 4. Had the infusion on day 4. Headache & fatigue next full cut off by CDC
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 | Constipation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release