YR5-86387-84687
3 vaccinations
5 coded responses
20 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 125 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Flatulence — Feeling: Good · Diarrhea, Abdominal painFree text: I've had diarrhea and gas pain since the day after injection 1. I did not correlate it to the vaccine but a week later and I still have the same symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Fatigue, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had bad fatigue & body aches the day after my 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-04-15
Pregnancy registry surveyNot pregnant at or since vaccination ·
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Heavy menstrual bleeding, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Left leg pain. Had a scan to look for blood clots. It was negative. Also very heavy periods. Seeing a dr about that now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
- 2021-08-07
-
2021-12-14
Dose 3 — Moderna
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Chest pain, Emergency care — 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 · Emergency room or emergency department visitFree text: After my booster I had severe chest pains and went to the emergency room.MedDRA releases: 2024-11 · check-in free text available
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2022-02-04
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 prEmergency room or emergency department visit · 1 call case(s)
-
2022-02-08
Call successfulParticipant prefers to complete VAERS report online
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2022-12-14
Survey response — 12 months, dose 3MedDRA: Gallbladder disorder, Migraine, Muscle spasms — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Migraines, gallbladder issues, muscles spasmsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-12-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-06 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-04 | Successful 2022-02-08 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I've had diarrhea and gas pain since the day after injection 1. I did not correlate it to the vaccine but a week later and I still have the same symptoms.
Release 4 — day 7, dose 2
Systemic reaction (other): I had bad fatigue & body aches the day after my 2nd dose
Release 8 — 3 months, dose 2
Symptoms: Left leg pain. Had a scan to look for blood clots. It was negative. Also very heavy periods. Seeing a dr about that now.
Release 11 — 12 months, dose 2
Symptoms: After my booster I had severe chest pains and went to the emergency room.
Release 12 — 12 months, dose 3
Symptoms: Migraines, gallbladder issues, muscles spasms
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 | Chest pain | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release