YVF-18063-69475
5 vaccinations
4 coded responses
59 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 919 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Sluggishness, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: I was just sleepy a d sluggish today. Had to take a nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-09
Survey response — day 14, dose 2MedDRA: Migraine, Self-medication — Feeling: FairFree text: Slight Migraine this AM that I attribute to work stress. Took 1 Migraine Excedrine at 11:15 AM.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Arthralgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have developed a small ball on my left Index finger at the joint. I have an appointment with my doctor on 6/2/2021. I have no pain. It just appeared about 1 month ago more or less. · Healthcare visit (other): I have a virtual visit scheduled 6/2/21 with my physician.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · None · 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
- 2022-04-27
- 2022-05-10
-
2022-05-24
Dose 4 — Moderna
-
2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Arm is little sore.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-15
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-24
-
2022-10-19
Dose 5 — Moderna
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-10
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-10-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-25 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I was just sleepy a d sluggish today. Had to take a nap.
Release 5 — day 14, dose 2
Symptoms: Slight Migraine this AM that I attribute to work stress. Took 1 Migraine Excedrine at 11:15 AM.
Release 8 — 3 months, dose 2
Symptoms: I have developed a small ball on my left Index finger at the joint. I have an appointment with my doctor on 6/2/2021. I have no pain. It just appeared about 1 month ago more or less.
Healthcare visit (other): I have a virtual visit scheduled 6/2/21 with my physician.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Arm is little sore.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release