YVM-12816-24905
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Very very small amount of soreness at injection site. Im quite shocked at the very low amount of pain vs. All other vaccinations ive recieved throughout my lifetime.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-19
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
- 2021-03-17
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Adverse reaction — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Im having other health issues right now that I feel are 100% NOT RELATED to the covid vaccine. So I feel that participating in this health survey today would be completely inaccurate and unfair to thrre vaccine study results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-08
- 2021-04-14
- 2021-04-23
- 2021-06-11
-
2021-09-10
Survey response — 6 months, dose 2MedDRA: Abdominal pain lower, Diabetes mellitus, Emergency care, Office visit — 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 visit, Emergency room or emergency department visitFree text: Diagnosed with Diabetes 4 to 6 weeks ago. And alsoSeverere Intermittent LLQ P Been to Dr. And Emergency Clinic. Both Ultra Sound and CT performed with basically nothing found. Per ER Dr., next step is to schedule a Colonoscopy. No DX as of yet.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Report sent to call center — 6 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 pr1 call case(s)
- 2021-09-16
-
2022-04-25
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2022-04-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-10 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very very small amount of soreness at injection site. Im quite shocked at the very low amount of pain vs. All other vaccinations ive recieved throughout my lifetime.
Release 6 — day 14, dose 2
Symptoms: Im having other health issues right now that I feel are 100% NOT RELATED to the covid vaccine. So I feel that participating in this health survey today would be completely inaccurate and unfair to thrre vaccine study results.
Release 9 — 6 months, dose 2
Symptoms: Diagnosed with Diabetes 4 to 6 weeks ago. And alsoSeverere Intermittent LLQ P Been to Dr. And Emergency Clinic. Both Ultra Sound and CT performed with basically nothing found. Per ER Dr., next step is to schedule a Colonoscopy. No DX as of yet.
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 | Abdominal pain lower | · | · | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release