YU6-28996-61655
3 vaccinations
3 coded responses
36 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 402 / KY
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fever · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-05-15
Dose 2 — Moderna
-
2021-05-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension, Flatulence — Feeling: Good · Site: Pain · Muscle or body achesFree text: Bloated/gassyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-08-14
- 2021-11-13
-
2022-05-15
Survey response — 12 months, dose 2MedDRA: COVID-19, Infectious mononucleosis — 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: Contacted covid in December. Unsure where from. Contracted Mono in March. Unsure where from.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — 12 months, dose 2Be 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)
- 2022-05-16
-
2022-05-23
Callback requested for01:00PM ET
-
2022-05-23
Call successfulDoes not wish to fill out VAERS report
-
2022-07-12
Dose 3 — Moderna
-
2022-07-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-07-16
- 2022-07-17
- 2022-07-18
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-11
- 2022-08-16
- 2022-08-23
- 2022-10-11
- 2023-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna | |
| 3 | 2022-07-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Successful 2022-05-23 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Bloated/gassy
Release 11 — 12 months, dose 2
Symptoms: Contacted covid in December. Unsure where from. Contracted Mono in March. Unsure where from.
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 | COVID-19 | · | · | ✓ |
| SD | Infectious mononucleosis | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release