YU8-49671-17819
5 vaccinations
14 coded responses
67 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 298 / SC
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Be unable to do your normal daily activitiesFree text: Appetite still not back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-23
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: Appetite fair - didn't mention before I feel foggy and really have since day after boosterMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Fair · Fatigue or tirednessFree text: FoggyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-04-24
Dose 4 — Pfizer-BioNTech
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Decreased appetite, Fatigue — Feeling: GoodFree text: Received Pfizer 2nd booster Sun, April 24th- chills at night and terribly fatigued with lose of appetite all day Monday the 25th- was much better Tuesday with just loss of appetite- today- Wed. I am goodMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-22
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2022-05-29
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Respiratory syncytial virus infection, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Caught RSV from babysitting for my young grandsons- coughing- runny nose - fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-05-29
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-05
Survey response — day 42, dose 4MedDRA: Respiratory syncytial virus infection — 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: Nothing to do with Booster shots or Covid-,got RSV from babysitting my young grandsonsMedDRA releases: 2024-11 · check-in free text available
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2022-06-05
Report sent to call center — day 42, dose 4Be 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)
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2022-06-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-24
- 2022-10-23
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2022-10-26
Dose 5 — Moderna
- 2022-10-26
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2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Decreased appetite — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
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2023-01-25
Survey response — 3 months, dose 5MedDRA: Influenza — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-25
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-24 | Pfizer-BioNTech | No |
| 5 | 2022-10-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-29 | Successful 2022-05-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-05 | Successful 2022-06-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-01-25 | Successful 2023-01-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Appetite still not back to normal
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Appetite fair - didn't mention before I feel foggy and really have since day after booster
Systemic reaction (other): Foggy
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Received Pfizer 2nd booster Sun, April 24th- chills at night and terribly fatigued with lose of appetite all day Monday the 25th- was much better Tuesday with just loss of appetite- today- Wed. I am good
Release 11 — day 35, dose 4
Symptoms: Caught RSV from babysitting for my young grandsons- coughing- runny nose - fatigue
Release 11 — day 42, dose 4
Symptoms: Nothing to do with Booster shots or Covid-,got RSV from babysitting my young grandsons
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Loss of appetite
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release