YV2-10128-19582
6 vaccinations
9 coded responses
74 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 908 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Paraesthesia — Feeling: Good · Site: Pain, Redness, SwellingFree text: Tingling sensations & tiredness just on day oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-17
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2021-01-25
Survey response — day 14, dose 1MedDRA: Erythema, Immunisation, Pruritus, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A week after dose one, I had new itching symptoms plus my redness and swelling grew by 3x the size! I would still call it mild symptoms because it was not painful and I was still functional. Luckily, now 2 weeks later, it got better on its own.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-01
Survey response — day 21, dose 1MedDRA: Adverse reaction, Unevaluable event — Feeling: GoodFree text: Feeling 100% better. My 2nd dose Moderna set for 28th day on February 8th.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Dose 2 — Moderna
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2021-02-08
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: ItchingFree text: tingling sensationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Mild body aches mostly in my legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt physically vulnerable all day. Had mild body aches last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-04-08
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-05-10
- 2021-08-09
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-29
-
2022-06-16
Dose 4 — Moderna
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2022-06-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-06-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2022-06-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-06-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-06-21
-
2022-06-22
Survey response — days 1–6 daily, dose 4MedDRA: Contusion, Erythema — Feeling: GoodFree text: bruising appearance is new now that redness is goneMedDRA releases: 2024-11 · check-in free text available
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-18
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2022-07-23
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: COVID on cruise shipMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
- 2022-09-17
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2022-10-14
Dose 5 — Moderna
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2022-10-14
Survey response — day 0, dose 5MedDRA: Paraesthesia, Road traffic accident — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Tingling triggered throughout body but that's originally due to car accident 6-20-2022MedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
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2023-04-21
Dose 6 — Moderna
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2023-04-22
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2023-04-23
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-04-24
- 2023-04-25
- 2023-04-26
- 2023-04-27
- 2023-04-28
- 2023-05-06
- 2023-05-13
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-06-16 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
| 6 | 2023-04-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-25 | Successful 2021-04-08 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling sensations & tiredness just on day one
Release 2 — day 14, dose 1
Symptoms: A week after dose one, I had new itching symptoms plus my redness and swelling grew by 3x the size! I would still call it mild symptoms because it was not painful and I was still functional. Luckily, now 2 weeks later, it got better on its own.
Release 3 — day 21, dose 1
Symptoms: Feeling 100% better. My 2nd dose Moderna set for 28th day on February 8th.
Release 3 — day 0, dose 2
Systemic reaction (other): tingling sensations
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild body aches mostly in my legs.
Systemic reaction (other): Felt physically vulnerable all day. Had mild body aches last night.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): bruising appearance is new now that redness is gone
Release 12 — day 35, dose 4
Symptoms: COVID on cruise ship
Release 12 — day 0, dose 5
Systemic reaction (other): Tingling triggered throughout body but that's originally due to car accident 6-20-2022
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 | Adverse reaction | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Immunisation | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ○ |
| SRO | Contusion | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Road traffic accident | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release