YSV-65590-88289
5 vaccinations
5 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 176 / PA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
- 2021-04-05
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymph node pain, Pain — Feeling: Fair · Fatigue or tirednessFree text: I missed this box yesterday, but I've had pain in I my left armpit for the past three days. It seems to be a lymph node. It hurts to move my arm aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 7, dose 1MedDRA: Lymph node pain, Mobility decreased, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: The lymph node in the armpit of the arm I received the shot in is still painful. Its difficult to roll over onto that side and to make bigger movements with my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
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2021-04-30
Dose 2 — Moderna
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2021-04-30
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Feel a little fuzzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-23
- 2021-05-28
- 2021-06-04
- 2021-06-13
- 2021-08-01
- 2021-10-29
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2021-11-27
Dose 3 — Moderna
- 2022-05-02
-
2022-07-25
Dose 4 — Pfizer-BioNTech
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2022-10-04
Dose 5 — Pfizer-BioNTech
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2022-10-06
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Fatigue, Headache, Pyrexia — Feeling: GoodFree text: I got the shot two days ago. I had fever, mild headache, chills, ad fatigue for 24 hrs afterward.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
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2023-04-06
Survey response — 6 months, dose 5MedDRA: Lymph node pain, Lymphadenopathy, Migraine, Migraine with aura, Office visit, Parosmia — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-06
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-07-25 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-06 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I missed this box yesterday, but I've had pain in I my left armpit for the past three days. It seems to be a lymph node. It hurts to move my arm around
Release 7 — day 7, dose 1
Systemic reaction (other): The lymph node in the armpit of the arm I received the shot in is still painful. Its difficult to roll over onto that side and to make bigger movements with my arm.
Release 8 — day 0, dose 2
Systemic reaction (other): Feel a little fuzzy.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I got the shot two days ago. I had fever, mild headache, chills, ad fatigue for 24 hrs afterward.
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 | Migraine with aura | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release