YRV-99700-60906
4 vaccinations
4 coded responses
52 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 229 / VA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F6X-12051-23609
Child or adolescent in my care · Male · 2022-06-24
JYE-23867-27266
Child or adolescent in my care · Female · 2022-11-08
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye, Dry mouth, Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dry mouth, dry eyes, calf and hamstring cramps (sounds like dehydration, but Ive been drinking lots of water).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, DiarrheaAdult check-in
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
-
2021-11-12
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Pregnancy, Respiratory tract congestion — Feeling: Fair · 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: Congestion, sore throat, pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-11-22
Dose 3 — ModernaCo-administered: Flu
-
2021-11-22
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: Cough, Delivery, Dyspnoea, Hospitalisation, Medical counselling, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Sore throat, cough, fever, shortness of breath, positive home test for covid (called doctor to discuss symptoms and precautions for newborn). Also gave birth to a baby (reason for hospitalization).MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-05-25
-
2022-09-26
Dose 4 — Pfizer-BioNTech
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-11-22 | Moderna | Flu |
| 4 | 2022-09-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-12 | Successful 2021-11-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-23 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth, dry eyes, calf and hamstring cramps (sounds like dehydration, but Ive been drinking lots of water).
Release 10 — 6 months, dose 2
Symptoms: Congestion, sore throat, pregnancy
Release 11 — 6 months, dose 3
Symptoms: Sore throat, cough, fever, shortness of breath, positive home test for covid (called doctor to discuss symptoms and precautions for newborn). Also gave birth to a baby (reason for hospitalization).
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 | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release