YT9-61210-38115
4 vaccinations
3 coded responses
38 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 834 / ID
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-29
Survey response — day 0, dose 1MedDRA: Injection site haemorrhage — Feeling: GoodFree text: My injection site bled a lot. (for an injection) I am concerned that the vaccine leaked out. Also, it didnt feel like the injection went into my muscle? I am a nurse, I am very familiar with injections and vaccinations. It felt like a subQ injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Blood prolactin increased, Heavy menstrual bleeding — Feeling: Fair · 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 visitFree text: Heavy 24 day period. Increased prolactin level. Corrected with medication.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Be 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)
- 2021-09-02
-
2021-09-23
Dose 3 — ModernaCo-administered: Flu
- 2021-10-25
- 2021-10-28
- 2021-11-04
- 2021-12-23
- 2022-03-26
-
2022-08-08
Dose 4 — Moderna
-
2022-08-21
Survey response — day 7, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: New symptom this vaccination that I didn't experience with my other COVID vaccinations: swollen and sore lymph nodes in my breast and under arm of my right side (injection side) lasted five or six days. Has completely resolved at this point.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
- 2022-08-30
- 2022-09-05
- 2022-09-12
- 2022-09-21
- 2022-11-07
- 2023-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-09-23 | Moderna | Flu |
| 4 | 2022-08-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-27 | Unsuccessful |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): My injection site bled a lot. (for an injection) I am concerned that the vaccine leaked out. Also, it didnt feel like the injection went into my muscle? I am a nurse, I am very familiar with injections and vaccinations. It felt like a subQ injection.
Release 9 — 6 months, dose 2
Symptoms: Heavy 24 day period. Increased prolactin level. Corrected with medication.
Release 12 — day 7, dose 4
Systemic reaction (other): New symptom this vaccination that I didn't experience with my other COVID vaccinations: swollen and sore lymph nodes in my breast and under arm of my right side (injection side) lasted five or six days. Has completely resolved at this point.
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 | Blood prolactin increased | ✓ | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release