YT6-61920-98260
3 vaccinations
7 coded responses
37 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 651 / MO
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Diarrhoea, Gout, Pre-existing disease — Feeling: Good · DiarrheaFree text: Gout - thinking diarrhea was from colchezineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-20
Survey response — day 21, dose 1MedDRA: Gout — Feeling: GoodFree text: GoutMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Arthritis, Pre-existing disease — Feeling: GoodFree text: Arthritis is bad- usually gone after out of bed awhile. Now all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Back pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chronic back pain since second shot. Im assuming arthritis but have and appt. doc · Healthcare visit (other): Appt. Monday with my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Insomnia, Productive cough, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough., phlegm, inability to sleep. Tested twice for Covid both negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
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)
- 2021-08-31
-
2021-10-23
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, ItchingFree text: The day after the booster was a killer! Worse than second shot. I spent day in bed.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Dizziness, Fatigue, Respiratory disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue, dizziness and breathing issues.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-24
- 2022-01-27
- 2022-04-23
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Unsuccessful | |
| 2021-08-28 | Unsuccessful | |
| 2022-01-22 | Unsuccessful |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Gout - thinking diarrhea was from colchezine
Release 4 — day 21, dose 1
Symptoms: Gout
Release 5 — day 14, dose 2
Symptoms: Arthritis is bad- usually gone after out of bed awhile. Now all day.
Release 7 — day 42, dose 2
Symptoms: Chronic back pain since second shot. Im assuming arthritis but have and appt. doc
Healthcare visit (other): Appt. Monday with my PCP
Release 9 — 6 months, dose 2
Symptoms: Cough., phlegm, inability to sleep. Tested twice for Covid both negative.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after the booster was a killer! Worse than second shot. I spent day in bed.
Release 11 — 3 months, dose 3
Symptoms: Fatigue, dizziness and breathing issues.
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gout | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release