YTM-82264-00786
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 219 / MD
- Registered
- 2021-05-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-05-19
Dose 2 — Moderna
-
2021-05-26
Registered in v-safe
-
2021-05-26
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: These symptoms started on 5/19 , 10 hours after vaccine and last 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — day 14, dose 2MedDRA: Ageusia, Dysgeusia, Fatigue, Immunisation reaction, Office visit, Pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My 2nd vaccine was 2 weeks ago. I had body aches fever fatigue within 10 hours of vaccine that lasted 24 h. I developed a strong metal taste and smell in my nose(new) 1 week before 2nd vaccine worse after vaccine subsiding some now. · Healthcare visit (other): Md visit and dental visit for metal taste and smell evaluation. I had covid pneumonia illness in 12 /2020 and lost taste and smell x 1 weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
- 2021-06-16
- 2021-06-25
- 2021-06-30
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2021-08-20
Survey response — 3 months, dose 2MedDRA: COVID-19 pneumonia, Cardiac murmur, Carotid artery occlusion, Heart valve incompetence, Office visit, Respiratory symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had covid pneumonia in Dec 2020. I have seen Card for new murmur,mild bilateral carotid blockage with mild tri cuspid and bicuspid valve leakage and seen Pulm for my ongoing respiratory symtoms which are improving. No changes since vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2021-11-17
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-04 | Unsuccessful | |
| 2021-08-20 | Unsuccessful |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): These symptoms started on 5/19 , 10 hours after vaccine and last 24 hours
Release 8 — day 14, dose 2
Symptoms: My 2nd vaccine was 2 weeks ago. I had body aches fever fatigue within 10 hours of vaccine that lasted 24 h. I developed a strong metal taste and smell in my nose(new) 1 week before 2nd vaccine worse after vaccine subsiding some now.
Healthcare visit (other): Md visit and dental visit for metal taste and smell evaluation. I had covid pneumonia illness in 12 /2020 and lost taste and smell x 1 week
Release 9 — 3 months, dose 2
Symptoms: Had covid pneumonia in Dec 2020. I have seen Card for new murmur,mild bilateral carotid blockage with mild tri cuspid and bicuspid valve leakage and seen Pulm for my ongoing respiratory symtoms which are improving. No changes since vaccine.
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 | Ageusia | ✓ | ✓ | ✓ |
| HCVO | Dysgeusia | ✓ | ✓ | ✓ |
| HCVO | Immunisation reaction | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cardiac murmur | ✓ | · | ✓ |
| SD | Carotid artery occlusion | ✓ | · | ✓ |
| SD | COVID-19 pneumonia | ✓ | · | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart valve incompetence | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release