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YSY-25166-85927

1 vaccination 3 coded responses 15 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
874 / NM
Registered
2021-01-25
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-01-25
    Registered in v-safe
  2. 2021-01-25
    Dose 1 — Moderna
  3. 2021-01-25
    Health check-in — day 0, dose 1
    Feeling: Good · Nausea
    Adult check-in
  4. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site pruritus, Injection site reaction, Lymphadenopathy, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I developed a huge itchy painful whelt on my arm at the injection site. As well as swollen lymph nodes under my injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Survey response — day 21, dose 1
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My son who is 2 abs nursing had developed a whole body rash that is not explained by any other environmental factors. It has lasted 2 weeks abs began the same day as the rash I developed on my arm after my injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-15
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-22
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-03-01
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-03-08
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-04-28
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-08-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2022-01-25
    Survey response — 12 months, dose 1
    MedDRA: Blood cholesterol increased, Hepatic enzyme increased, Menstruation irregular — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Inconsistent periods- elevated liver levels- elevated cholesterol
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-01-25
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-01-31

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-15 Successful
2021-08-01
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-25 Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: I developed a huge itchy painful whelt on my arm at the injection site. As well as swollen lymph nodes under my injection arm

Release 4 — day 21, dose 1

2021-02-15

Symptoms: My son who is 2 abs nursing had developed a whole body rash that is not explained by any other environmental factors. It has lasted 2 weeks abs began the same day as the rash I developed on my arm after my injection

Release 11 — 12 months, dose 1

2022-01-25

Symptoms: Inconsistent periods- elevated liver levels- elevated cholesterol

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

FieldPreferred term2021-092023-042024-11
SDBlood cholesterol increased · · ✓
SDHepatic enzyme increased · · ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDRash ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release