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YTH-28771-74868

3 vaccinations 4 coded responses 13 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
185 / PA
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-02-05
    Dose 2 — Moderna
  3. 2021-04-03
    Registered in v-safe
  4. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-11-20
    Dose 3 — Moderna
  7. 2021-11-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: I had very high fever 36-48 hours post injection. Some fatigue. All resolved.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Paraesthesia — Feeling: Good · Fatigue or tiredness
    Free text: Odd parathesia in left thigh. I don't think it's related but worth mentioning. It's been there for three days, just one thigh. I anticipate that's just a pinched nerve somewhere.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-28
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  11. 2021-12-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-12-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-12-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-02-19
    Survey response — 3 months, dose 3
    MedDRA: Feeling abnormal, Laboratory test abnormal, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had a positive PCR January 3 After five days I had a negative antigen and went back to work. I felt great. February 1, I had a night where I did not feel good. I tested positive antigen. I was sick! Did not feel like the same event.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-19
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2022-02-22
  18. 2022-05-23
    Survey response — 6 months, dose 3
    MedDRA: Fatigue, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I was diagnosed with Covid twice in January and February I believe it was. First one was my PCR and second one was by antigen And confirmed throughout the 10 day. First episode was not that bad second episode was overwhelming fatigue etc diff strain
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-23
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  20. 2022-05-24
  21. 2022-11-20
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-11-20Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-02-19 Unsuccessful
2022-05-23 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): I had very high fever 36-48 hours post injection. Some fatigue. All resolved.

2021-11-26

Systemic reaction (other): Odd parathesia in left thigh. I don't think it's related but worth mentioning. It's been there for three days, just one thigh. I anticipate that's just a pinched nerve somewhere.

Release 11 — 3 months, dose 3

2022-02-19

Symptoms: I had a positive PCR January 3 After five days I had a negative antigen and went back to work. I felt great. February 1, I had a night where I did not feel good. I tested positive antigen. I was sick! Did not feel like the same event.

Release 11 — 6 months, dose 3

2022-05-23

Symptoms: I was diagnosed with Covid twice in January and February I believe it was. First one was my PCR and second one was by antigen And confirmed throughout the 10 day. First episode was not that bad second episode was overwhelming fatigue etc diff strain cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDFatigue · · ✓
SDFeeling abnormal · · ✓
SDLaboratory test abnormal · · ✓
SDMalaise · · ✓
SDSARS-CoV-2 test positive · · ✓
SDUnevaluable event · · ✓
SROFatigue · · ✓
SROParaesthesia · · ✓
SROPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release