YTF-33692-23133
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 193 / PA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-05
Dose 1 — Moderna
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2021-01-27
Registered in v-safe
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2021-01-27
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Dose 2 — Moderna
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Immediate post-injection reaction, Visual impairment — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Vision disturbances and mental confusion which started about 45 mins after the injection and lasted several hours. I have never experienced anything like this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Still lightheaded throughout the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
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2021-05-04
Survey response — 3 months, dose 2MedDRA: Arthralgia, Fatigue, Inflammation, Myalgia, Tenderness, Weight increased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I feel like my entire body has had increased inflammation since the vaccines. Im constantly tired, cant stop gaining weight, my thyroid gland is tender, my joints and muscles hurt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-03
Survey response — 6 months, dose 2MedDRA: Bronchitis, Eczema, Hypoaesthesia, Joint swelling, Office visit — Feeling: Fair · 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: Symptoms: One inflammatory problem after another - rash (looked like eczema) 3+ weeks, acute bronchitis for about 3 weeks, swollen joints right hand, intermittent numbness in hands and right foot. · Healthcare visit (other): ChiropractorMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-03
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)
- 2021-11-03
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-03 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Fatigue
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Vision disturbances and mental confusion which started about 45 mins after the injection and lasted several hours. I have never experienced anything like this before.
Systemic reaction (other): Still lightheaded throughout the day
Release 8 — 3 months, dose 2
Symptoms: I feel like my entire body has had increased inflammation since the vaccines. Im constantly tired, cant stop gaining weight, my thyroid gland is tender, my joints and muscles hurt.
Release 9 — 6 months, dose 2
Symptoms: One inflammatory problem after another - rash (looked like eczema) 3+ weeks, acute bronchitis for about 3 weeks, swollen joints right hand, intermittent numbness in hands and right foot.
Healthcare visit (other): Chiropractor
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Eczema | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release