YT6-44717-05802
4 vaccinations
3 coded responses
48 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 958 / CA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-24
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chills, Headache, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness · Fever · Be unable to do your normal daily activitiesFree text: Yesterday I my temp was 100.9 and I felt had the chills, body aches, headache in addition to the arm pain. This all came on after I had filled out the survey. I feel better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-05
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-06-27
Survey response — 3 months, dose 2MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Excruciating Sciatica issues- for almost a month nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-27
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-25
-
2021-12-10
Dose 3 — Moderna
-
2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Abdominal painAdult check-in
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Erythema, Pain, Swelling — Feeling: GoodFree text: No, I got the shot last Friday (12/10) and didn't think to login to vsafe until 12/13. I had a pretty severe reaction the first couple of days- really red, swollen, and painful. Here we are day 6 and it's pretty much cleared but.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-03-11
- 2022-06-10
-
2022-10-01
Dose 4 — Moderna
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-27 | Successful 2021-07-02 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I my temp was 100.9 and I felt had the chills, body aches, headache in addition to the arm pain. This all came on after I had filled out the survey. I feel better today.
Release 9 — 3 months, dose 2
Symptoms: Excruciating Sciatica issues- for almost a month now
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No, I got the shot last Friday (12/10) and didn't think to login to vsafe until 12/13. I had a pretty severe reaction the first couple of days- really red, swollen, and painful. Here we are day 6 and it's pretty much cleared but.
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 |
|---|---|---|---|---|
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release