YT2-11850-95526
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workAdult check-in
- 2021-03-27
- 2021-03-28
-
2021-04-04
Survey response — day 7, dose 1MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Rash at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
-
2021-04-23
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-27
- 2021-05-02
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-30
- 2021-06-04
- 2021-07-23
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy related nausea and fatigue · Healthcare visit (other): dr office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-27
-
2021-10-28
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-03
- 2021-11-04
- 2021-11-13
- 2021-11-18
- 2021-11-25
-
2021-12-02
Survey response — day 35, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-09
- 2022-01-27
- 2022-04-28
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-22 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-12-02 | Successful 2021-12-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Rash at injection site
Release 10 — 6 months, dose 2
Release 10 — day 35, dose 3
Symptoms: cough and congestion
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 | Cough | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release