YSM-10543-34535
5 vaccinations
8 coded responses
58 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-10
Dose 1 — Moderna
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2021-02-27
Registered in v-safe
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2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Starting on 02/20/21 the site of the injection swelled up really large. I think it was about 4-5 inches across and it got really itchy. No redness, no pain, no rash. Now on 02/27/21 its about a third of the size it was before. No itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Dose 2 — Moderna
- 2021-03-10
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NauseaAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The injection site is hot, which is a typical response for me from other vaccines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Red area getting larger, now is 5x7-8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-10
- 2021-09-08
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2021-11-05
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-04-29
Dose 4 — Moderna
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2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Itching · Chills, NauseaFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, SwellingFree text: Redness at the inject site has spread and is 4"x7"MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema — Feeling: Good · Site: Redness, ItchingFree text: Redness at injection site now 4.5"x8.5"MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
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2022-07-29
Survey response — 3 months, dose 4MedDRA: Cough, Decreased appetite, Fatigue, Influenza A virus test negative, Influenza B virus test negative, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a high fever for one week and during that time developed a cough. Little appetite and kind of tired. Got a Z pack and the fever is gone. I still have a cough. Tested negative for Covid and influenza A and B.MedDRA releases: 2024-11 · check-in free text available
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2022-07-29
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-01
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2022-08-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-15
Dose 5 — Moderna
- 2022-10-15
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 35, dose 5MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: I've caught a cold. Runny nose, sneezing, coughing, but no fever. I tested negative for Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-10-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-29 | Successful 2022-08-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 14, dose 1
Symptoms: Starting on 02/20/21 the site of the injection swelled up really large. I think it was about 4-5 inches across and it got really itchy. No redness, no pain, no rash. Now on 02/27/21 its about a third of the size it was before. No itching.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The injection site is hot, which is a typical response for me from other vaccines.
Systemic reaction (other): Red area getting larger, now is 5x7-8
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Headache
Systemic reaction (other): Redness at the inject site has spread and is 4"x7"
Systemic reaction (other): Redness at injection site now 4.5"x8.5"
Release 12 — 3 months, dose 4
Symptoms: I had a high fever for one week and during that time developed a cough. Little appetite and kind of tired. Got a Z pack and the fever is gone. I still have a cough. Tested negative for Covid and influenza A and B.
Release 12 — day 35, dose 5
Symptoms: I've caught a cold. Runny nose, sneezing, coughing, but no fever. I tested negative for Covid.
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 | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test negative | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release