YUP-99119-30041
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-10
Registered in v-safe
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Mild sore arm for first few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Feeling of body temperature change, Hyperhidrosis — Feeling: Good · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Extreme temperature change, very warm, sweating in the AMMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-26
-
2021-03-03
Survey response — day 28, dose 2MedDRA: Gastroenteritis viral, Gastrointestinal disorder, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach bug/GI symptoms, tested negative for covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold a few weeks ago; runny nose, coughHad pre op covid test 5/1 for an outpatient procedure that was negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-04
-
2021-11-12
Dose 3 — Moderna
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: COVID-19, Pregnancy — 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: Pregnant due date 3/10/22 Covid 12/28/21MedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
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)
- 2022-02-04
-
2022-11-11
Dose 4 — Moderna
- 2022-11-11
-
2022-11-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
-
2022-12-23
Survey response — day 42, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree text: Cold symptoms, congestion, runny nose, cough, negative at home covid testMedDRA releases: 2024-11 · check-in free text available
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-03 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore arm for first few days
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme temperature change, very warm, sweating in the AM
Release 5 — day 28, dose 2
Symptoms: Stomach bug/GI symptoms, tested negative for covid
Release 8 — 3 months, dose 2
Symptoms: Cold a few weeks ago; runny nose, coughHad pre op covid test 5/1 for an outpatient procedure that was negative
Release 11 — 12 months, dose 2
Symptoms: Pregnant due date 3/10/22 Covid 12/28/21
Release 12 — day 42, dose 4
Symptoms: Cold symptoms, congestion, runny nose, cough, negative at home covid test
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 | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ○ | ○ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release