YVL-56214-37410
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 487 / MI
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Feeling jittery — Feeling: Good · Site: PainFree text: Brain fog and some jitterinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 1MedDRA: Arthralgia, Diarrhoea, Fatigue, Feeling abnormal, Headache, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Achey joints, nausea, diarrhea, tiredness, headache, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Diarrhoea, Vaccine positive rechallenge — Feeling: GoodFree text: Upset stomach and diarrhea on day 11 lasted about 12 hours. Same thing happened after my first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
-
2022-05-06
Survey response — 6 months, dose 3MedDRA: Ageusia, Anosmia, Arthralgia, Decreased appetite, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Throat irritation — 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 professional · Telehealth, virtual health, or email health consultationFree text: Sore scratchy throat, fever, body aches, loss of appetite, loss of taste and smell, fatigue, joint painMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-09
-
2022-05-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-08-28
Dose 4 — Moderna
-
2022-08-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-08-30
- 2022-08-31
- 2022-09-01
- 2022-09-02
- 2022-09-03
- 2022-09-04
- 2022-09-11
- 2022-09-18
- 2022-09-25
- 2022-10-02
- 2022-10-10
-
2022-11-27
Survey response — 3 months, dose 4MedDRA: Cough, Office visit, Pain, Paranasal sinus discomfort, Pneumonia, Pyrexia, Sinusitis — 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: I started with sinus pressure, body aches, fever, that turned into a cough and I ended up seeing my doctor. Diagnosed with sinus infection and pneumonia. Not related at all to my vaccine! · Healthcare visit (other): I went to my doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
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)
- 2022-11-28
- 2023-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-08-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Successful 2022-05-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-27 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Brain fog and some jitteriness
Release 4 — day 14, dose 1
Symptoms: Achey joints, nausea, diarrhea, tiredness, headache, brain fog
Release 6 — day 14, dose 2
Symptoms: Upset stomach and diarrhea on day 11 lasted about 12 hours. Same thing happened after my first dose.
Release 11 — 6 months, dose 3
Symptoms: Sore scratchy throat, fever, body aches, loss of appetite, loss of taste and smell, fatigue, joint pain
Release 12 — 3 months, dose 4
Symptoms: I started with sinus pressure, body aches, fever, that turned into a cough and I ended up seeing my doctor. Diagnosed with sinus infection and pneumonia. Not related at all to my vaccine!
Healthcare visit (other): I went to my doctor's office
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release