YSJ-27209-75017
3 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 061 / CT
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-03-19
Dose 2 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: This is my first check-in I received my second shot on March 19th and 13 hours later had chills and fever Had fever up to 102.4 body aches and headache for 30 hours Then had extreme exhaustion on the third day. Then I was much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-06-18
Survey response — 3 months, dose 2MedDRA: Breast cancer stage I, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have discovered I have stage one breast cancer and will go for surgery next week · Healthcare visit (other): 2 mammograms 1 biopsy and an in person visit to my surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-09-19
-
2021-10-29
Dose 3 — Moderna
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: The swelling and redness at the injection area lasted from Saturday to Tuesday and is gone todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-05-01
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-18 | Unsuccessful |
Free text
Release 7 — day 14, dose 2
Symptoms: This is my first check-in I received my second shot on March 19th and 13 hours later had chills and fever Had fever up to 102.4 body aches and headache for 30 hours Then had extreme exhaustion on the third day. Then I was much better
Release 9 — 3 months, dose 2
Symptoms: I have discovered I have stage one breast cancer and will go for surgery next week
Healthcare visit (other): 2 mammograms 1 biopsy and an in person visit to my surgeon
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The swelling and redness at the injection area lasted from Saturday to Tuesday and is gone today
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Breast cancer stage I | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release