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YT3-44564-28055

1 vaccination 2 coded responses 10 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
657 / MO
Registered
2021-01-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

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 · None
    Adult check-in
  4. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches
    Adult check-in
  5. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    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 · None
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  11. 2021-07-26
    Survey response — 6 months, dose 1
    MedDRA: Impaired work ability, Irritable bowel syndrome, Office visit, Rheumatoid arthritis, Sjogren's syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I was diagnosed with RA , IBS and Sjörgen Syndrom. Before the vaccination I had none of these issues. It came upon me two weeks after the vaccination with the Moderna.I had to quit my job due to this. · Healthcare visit (other): Regular MD and Rheumotologist
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-07-26
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  13. 2021-08-04
  14. 2022-01-25
    Survey response — 12 months, dose 1
    MedDRA: Emotional distress, Neuropathy peripheral, Pain, Sjogren's syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I was diagnosed with Sjorgens syndrome shortly after receiving the second vaccination. Then also have been diagnosed with Neuropathy. I had a job and life but now always in pain and suffering
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-25
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  16. 2022-01-26
  17. 2022-02-01
  18. 2022-02-01
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-26 Successful Does not wish to fill out VAERS report
2022-01-25 Successful
2022-02-01
Does not wish to fill out VAERS report

Free text

Release 9 — 6 months, dose 1

2021-07-26

Symptoms: I was diagnosed with RA , IBS and Sjörgen Syndrom. Before the vaccination I had none of these issues. It came upon me two weeks after the vaccination with the Moderna.I had to quit my job due to this.
Healthcare visit (other): Regular MD and Rheumotologist

Release 11 — 12 months, dose 1

2022-01-25

Symptoms: I was diagnosed with Sjorgens syndrome shortly after receiving the second vaccination. Then also have been diagnosed with Neuropathy. I had a job and life but now always in pain and suffering

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
HCVOOffice visit ✓ · ✓
SDEmotional distress · · ✓
SDImpaired work ability ✓ · ✓
SDIrritable bowel syndrome ✓ · ✓
SDNeuropathy peripheral · · ✓
SDPain · · ✓
SDRheumatoid arthritis ✓ · ✓
SDSjogren's syndrome ✓ · ✓

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