YSC-32490-39111
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
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2021-02-22
Dose 2 — Moderna
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2021-02-22
Health check-in — day 0, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Therapeutic response unexpected — Feeling: GoodFree text: Wet macular coats disease greatly improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
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2021-03-01
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Fatigue, Vertigo — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Still very tired. Developed vertigo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-22
Survey response — day 28, dose 2MedDRA: Medical counselling, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo. Forgot to report it last week. · Healthcare visit (other): Vestibular balance therapist okayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Survey response — day 35, dose 2MedDRA: Medical counselling, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: vertigo · Healthcare visit (other): Cancel ct scanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Dermatitis, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a rash on both cheeks. Dr. It was contact dermatitis but the antibiotic has not changed it any I'm going to see a dermatologist on Friday. I'm wondering if it's some kind of rash related to my covid injection. I was checked for covid and it waMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-22 | Unsuccessful | |
| 2021-03-29 | Unsuccessful | |
| 2021-05-26 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Wet macular coats disease greatly improved
Release 5 — day 14, dose 2
Symptoms: Still very tired. Developed vertigo.
Release 6 — day 28, dose 2
Symptoms: Vertigo. Forgot to report it last week.
Healthcare visit (other): Vestibular balance therapist okay
Release 6 — day 35, dose 2
Release 8 — 3 months, dose 2
Symptoms: I have a rash on both cheeks. Dr. It was contact dermatitis but the antibiotic has not changed it any I'm going to see a dermatologist on Friday. I'm wondering if it's some kind of rash related to my covid injection. I was checked for covid and it wa 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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Dermatitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release