YUF-18033-22542
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Sinus disorder, Unevaluable event — Feeling: GoodFree text: Have a sinus issue but not related to covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: Just from shoveling snow- not cause of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: From pushing snowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Sinus disorder — Feeling: Fair · Site: Pain · HeadacheFree text: Think might be weather/sinus relatedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Arm pit, lymph node swelled on arm got injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: SwellingFree text: Still swelled dome in arm pitt but getting better.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Think all ok now after my booster- yea!MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Doing pretty well now- thank you.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Doing well- thank u!!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
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2022-09-30
Dose 4 — Moderna
- 2022-10-22
- 2022-10-29
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: Hernia repair, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had hernia surgery December 20 so recovering from that- not covid related. · Healthcare visit (other): Out patient surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2023-01-03
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-30 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Have a sinus issue but not related to covid
Systemic reaction (other): Just from shoveling snow- not cause of vaccine
Systemic reaction (other): From pushing snow
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Think might be weather/sinus related
Systemic reaction (other): Arm pit, lymph node swelled on arm got injection
Systemic reaction (other): Still swelled dome in arm pitt but getting better.
Systemic reaction (other): Think all ok now after my booster- yea!
Systemic reaction (other): Doing pretty well now- thank you.
Release 10 — day 7, dose 3
Systemic reaction (other): Doing well- thank u!!
Release 12 — 3 months, dose 4
Symptoms: Had hernia surgery December 20 so recovering from that- not covid related.
Healthcare visit (other): Out patient surgery
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 | Surgery | · | · | ✓ |
| SD | Hernia repair | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release