YSH-91298-49866
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 541 / WI
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-13
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Headache, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Worsening headache. I recently had strokes, bilateral vertebral artery dissections and surgery for stents. My providers are unsure if the headaches were related to the vaccine or my recent health issues. Headaches have improved the past few days. · Healthcare visit (other): Phone callsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Heart rate increased, Malaise, Pain, Pyrexia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I missed my check in yesterday due to feeling ill- I had a fever of 101.6, heart rate up to 150, body aches, chills, and headache. Today i am feeling much improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-25
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-26
- 2021-05-05
- 2021-08-04
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | Unsuccessful | |
| 2021-01-13 | Unsuccessful | |
| 2021-01-21 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Worsening headache. I recently had strokes, bilateral vertebral artery dissections and surgery for stents. My providers are unsure if the headaches were related to the vaccine or my recent health issues. Headaches have improved the past few days.
Healthcare visit (other): Phone calls
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I missed my check in yesterday due to feeling ill- I had a fever of 101.6, heart rate up to 150, body aches, chills, and headache. Today i am feeling much improved
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release