YTU-26524-50057
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-08
- 2021-02-09
-
2021-02-16
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Malaise, Pain, Pain in extremity, Pruritus — Feeling: GoodFree text: Had large 6 inch red, hot, itchy spot develop on arm where shot was given. The arm hurt. I also did not feel well, was a bit achy. I also later developed itchy red spot on lower arm. This started on day 8, spot was worse on day 9 until recentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Drainage, slight coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dysgeusia, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Redness, Swelling · FeverFree text: Lack of appetite, funny taste in mouth, sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 35, dose 2MedDRA: Adverse reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tear in retina. Probably not related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-15
- 2021-06-03
-
2021-09-02
Survey response — 6 months, dose 2MedDRA: Fall, Joint injury — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fell and injured knee. Not a vaccine complication.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-15
Dose 3 — Moderna
-
2022-02-14
Call successfulDoes not wish to fill out VAERS report
- 2022-03-04
- 2022-05-16
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-08 | Successful 2022-02-14 |
Does not wish to fill out VAERS report |
Free text
Release 4 — day 14, dose 1
Symptoms: Had large 6 inch red, hot, itchy spot develop on arm where shot was given. The arm hurt. I also did not feel well, was a bit achy. I also later developed itchy red spot on lower arm. This started on day 8, spot was worse on day 9 until recently
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Drainage, slight cough
Systemic reaction (other): Lack of appetite, funny taste in mouth, sinus drainage
Release 7 — day 35, dose 2
Symptoms: Tear in retina. Probably not related to vaccine.
Release 9 — 6 months, dose 2
Symptoms: Fell and injured knee. Not a vaccine complication.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Joint injury | ✓ | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release