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YVB-21111-70596

5 vaccinations 8 coded responses 62 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
180 / PA
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Survey response — day 0, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I am always fatigued from my brain cancer. Does not seem any different since I got the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I am always tired from my brain cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I am always tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I am always tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I am always tired (brain cancer)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Dose 2 — Moderna
  12. 2021-02-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Dizziness · Healthcare visit (other): Emailed my oncologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-17
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-06
  28. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-02
    Dose 3 — Moderna
  30. 2021-09-02
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-09-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-09-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  33. 2021-09-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-09-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  35. 2021-09-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  36. 2021-09-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-09-09
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  38. 2021-09-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-09-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-09-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-10-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-10-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-03
    Survey response — 6 months, dose 3
    MedDRA: Immediate post-injection reaction, Immunisation reaction, Office visit, Tongue erythema, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I had my 3rd dose of Moderna on 9/2/21. Shortly after, a dark red area appeared on my tongue. It appears to be benign, but it is still there. ENT thinks maybe it is an immune response to the vaccine. · Healthcare visit (other): MRI
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-03-03
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  46. 2022-03-04
  47. 2022-05-19
    Dose 4 — Moderna
  48. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  49. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  50. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  51. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  52. 2022-05-28
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-06-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-06-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-06-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-06-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-08-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  59. 2023-03-19
    Dose 5 — Moderna
  60. 2023-03-19
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  61. 2023-03-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  62. 2023-03-21
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  63. 2023-03-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  64. 2023-03-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  65. 2023-03-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  66. 2023-03-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  67. 2023-03-26
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  68. 2023-04-02
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  69. 2023-04-18
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  70. 2023-04-23
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  71. 2023-04-30
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  72. 2023-06-18
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-16Moderna
32021-09-02Moderna No
42022-05-19Moderna No
52023-03-19Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-17 Unsuccessful
2022-03-03 Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): I am always fatigued from my brain cancer. Does not seem any different since I got the vaccine.

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): I am always tired from my brain cancer

2021-01-24

Systemic reaction (other): I am always tired

2021-01-25

Systemic reaction (other): I am always tired.

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): I am always tired (brain cancer)

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Very tired

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Dizziness
Healthcare visit (other): Emailed my oncologist

Release 11 — 6 months, dose 3

2022-03-03

Symptoms: I had my 3rd dose of Moderna on 9/2/21. Shortly after, a dark red area appeared on my tongue. It appears to be benign, but it is still there. ENT thinks maybe it is an immune response to the vaccine.
Healthcare visit (other): MRI

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImmediate post-injection reaction · · ✓
SDImmunisation reaction · · ✓
SDOffice visit · · ✓
SDTongue erythema · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release