YU6-27925-85736
3 vaccinations
8 coded responses
15 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 112 / NY
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
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2021-03-28
Dose 1 — Moderna
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2021-03-28
Health check-in — day 0, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Well my menstrual cycle areived so part of symptoms perhaps can be attributedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 7, dose 1MedDRA: Menstrual disorder — Feeling: Good · Abdominal painFree text: My menstrual cycle came early so that could be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 14, dose 1MedDRA: Chest discomfort — Feeling: GoodFree text: Chest, collar bone heavyness..gonna go get it checked outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — day 21, dose 1MedDRA: Chest discomfort, Neck pain — Feeling: FairFree text: Tightening of chest Neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Dose 2 — Moderna
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2021-06-29
Survey response — 3 months, dose 1MedDRA: Hypersensitivity, Migraine, Pre-existing disease — Feeling: FairFree text: Allergies heightened MigrainesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-25
Survey response — 3 months, dose 2MedDRA: Fluid retention, Joint swelling — Feeling: GoodFree text: Its bizarre i feel water retention and Swelling of the joints I do yoga and have started supplementsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-24
Survey response — 6 months, dose 2MedDRA: Arthralgia, Capillary fragility, Dry eye, Office visit — Feeling: Fair · 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: Symptoms: Joint pain, eye dryness capillaries bursting · Healthcare visit (other): Eye dr.MedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-27
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2021-12-17
Dose 3 — Pfizer-BioNTech
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2022-04-25
Survey response — 12 months, dose 2MedDRA: Arthralgia, Menstruation irregular — Feeling: GoodFree text: Menstrual flow returned But joint pain continuesMedDRA releases: 2024-11 · check-in free text available
- 2022-06-17
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Moderna | |
| 2 | 2021-04-25 | Moderna | No |
| 3 | 2021-12-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-24 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Well my menstrual cycle areived so part of symptoms perhaps can be attributed
Release 6 — day 7, dose 1
Systemic reaction (other): My menstrual cycle came early so that could be related.
Release 7 — day 14, dose 1
Symptoms: Chest, collar bone heavyness..gonna go get it checked out
Release 7 — day 21, dose 1
Symptoms: Tightening of chest Neck pain
Release 9 — 3 months, dose 1
Symptoms: Allergies heightened Migraines
Release 9 — 3 months, dose 2
Symptoms: Its bizarre i feel water retention and Swelling of the joints I do yoga and have started supplements
Release 10 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Menstrual flow returned But joint pain continues
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Capillary fragility | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Fluid retention | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release