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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

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-05-19
    Dose 2 — Moderna
  3. 2021-05-26
    Registered in v-safe
  4. 2021-05-26
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free text: These symptoms started on 5/19 , 10 hours after vaccine and last 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-04
    Survey response — day 14, dose 2
    MedDRA: Ageusia, Dysgeusia, Fatigue, Immunisation reaction, Office visit, Pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-04
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-20
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  12. 2021-08-20
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-08-24
  14. 2021-11-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-05-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna
22021-05-19Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-04 Unsuccessful
2021-08-20 Unsuccessful

Free text

Release 8 — day 7, dose 2

2021-05-26

Systemic reaction (other): These symptoms started on 5/19 , 10 hours after vaccine and last 24 hours

Release 8 — day 14, dose 2

2021-06-04

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

2021-08-20

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

FieldPreferred term2021-092023-042024-11
HCVOAgeusia ✓ ✓ ✓
HCVODysgeusia ✓ ✓ ✓
HCVOImmunisation reaction ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDCardiac murmur ✓ · ✓
SDCarotid artery occlusion ✓ · ✓
SDCOVID-19 pneumonia ✓ · ✓
SDDysgeusia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeart valve incompetence ✓ · ✓
SDOffice visit ✓ · ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory symptom ✓ · ✓
SROAdverse reaction ✓ ✓ ✓

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