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
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body achesAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
-
2021-07-26
Survey response — 6 months, dose 1MedDRA: 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 professionalFree 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 RheumotologistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-04
-
2022-01-25
Survey response — 12 months, dose 1MedDRA: 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 visitFree 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 sufferingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-26
- 2022-02-01
-
2022-02-01
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna |
Call center
| Reported | Outcome | VAERS-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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Emotional distress | · | · | ✓ |
| SD | Impaired work ability | ✓ | · | ✓ |
| SD | Irritable bowel syndrome | ✓ | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rheumatoid arthritis | ✓ | · | ✓ |
| SD | Sjogren's syndrome | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release