YTJ-13988-61078
4 vaccinations
5 coded responses
51 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 231 / VA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
-
2021-01-14
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Red circle on arm near where shot was given. 2.5 in diameter. Warm to the touch. Lasted 5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-05
- 2021-02-06
- 2021-02-10
- 2021-02-19
- 2021-02-26
- 2021-03-03
- 2021-03-11
- 2021-04-28
- 2021-07-28
-
2021-10-29
Dose 3 — Pfizer-BioNTech
- 2021-10-29
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-04
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2022-01-29
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Cough, Gastroenteritis viral, Nasopharyngitis, SARS-CoV-2 test negative, Secretion discharge — 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 · Outpatient clinic or urgent care clinic visitFree text: Multiple colds / viruses since daughter entered daycare. 24 hr stomach bug Mucus drainage and cough (negative covid)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
- 2022-05-05
-
2022-10-03
Dose 4 — Pfizer-BioNTech
- 2022-10-03
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-25
- 2022-10-31
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2022-11-09
Survey response — day 35, dose 4MedDRA: Breast feeding, Mastitis, Nasal congestion, Respiratory tract congestion — Feeling: GoodFree text: Mastitis due to weaning. Stuffy nose and mild congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Survey response — day 42, dose 4MedDRA: Increased upper airway secretion, Oropharyngeal pain, Productive cough, Rhinorrhoea — Feeling: FairFree text: Sore throat, phlegm in throat, running noseMedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Survey response — 3 months, dose 4MedDRA: COVID-19, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Unsuccessful | |
| 2022-04-29 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Red circle on arm near where shot was given. 2.5 in diameter. Warm to the touch. Lasted 5 days.
Release 11 — 6 months, dose 3
Symptoms: Multiple colds / viruses since daughter entered daycare. 24 hr stomach bug Mucus drainage and cough (negative covid)
Release 12 — day 35, dose 4
Symptoms: Mastitis due to weaning. Stuffy nose and mild congestion.
Release 12 — day 42, dose 4
Symptoms: Sore throat, phlegm in throat, running nose
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 | Breast feeding | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Mastitis | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release