YRE-22755-62867
3 vaccinations
6 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 086 / NJ
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VKS-19651-37927
Adult relative or friend · Male · 2021-08-08
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body achesFree text: Ive been taking acetaminophen starting just before getting the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
-
2021-02-23
Survey response — day 0, dose 2MedDRA: Fatigue, Headache, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, HeadacheFree text: I took 1gr of acetaminophen 10 minutes after the second dose. Then I felt feverish tired and with mild headache so I took enantyum (desketoprofen 25 mg) 4 hours later and then I took my temperature which was normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Photophobia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: PhotophobiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Photophobia — Feeling: Good · Site: Pain · Headache · Be unable to workFree text: Mild photophobiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-01
- 2021-03-16
- 2021-03-23
- 2021-04-01
- 2021-04-06
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Cellulitis, Hospitalisation, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I was admitted overnight for a cat bite wound with cellulitis in my forearm. I also had an episode of vertigo. It all happen in different weekends and didnt interfere with my work schedule. Unrelated with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
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)
- 2021-08-24
-
2021-11-26
Dose 3 — Moderna
- 2021-11-26
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-03
- 2021-12-13
- 2021-12-17
- 2021-12-26
- 2021-12-31
- 2022-01-09
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2022-02-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-25
- 2022-05-27
-
2022-11-26
Survey response — 12 months, dose 3MedDRA: Influenza like illness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu-like symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-25 | Successful 2022-02-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Ive been taking acetaminophen starting just before getting the vaccine
Release 4 — day 0, dose 2
Systemic reaction (other): I took 1gr of acetaminophen 10 minutes after the second dose. Then I felt feverish tired and with mild headache so I took enantyum (desketoprofen 25 mg) 4 hours later and then I took my temperature which was normal.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Photophobia
Systemic reaction (other): Mild photophobia
Release 8 — 3 months, dose 2
Symptoms: I was admitted overnight for a cat bite wound with cellulitis in my forearm. I also had an episode of vertigo. It all happen in different weekends and didnt interfere with my work schedule. Unrelated with the vaccine.
Release 12 — 12 months, dose 3
Symptoms: Flu-like symptoms
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 | Cellulitis | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release