YVP-15883-81241
3 vaccinations
7 coded responses
17 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 068 / CT
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Injection site pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Not too bad All of these on the milder side except for injection site painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains · Be unable to workAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-02-03
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Joint painsFree text: Left side of throat hurt to swallow Maybe Lymph nodes swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Left arm still hurts but not at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-27
Survey response — day 28, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: Left arm still hurts but not at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Dose 2 — Moderna
-
2021-03-13
Survey response — day 7, dose 2MedDRA: Malaise — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: I was very sick last weekend. Lasted about 72 hours after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 28, dose 2MedDRA: Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: left arm Still giving me trouble but seemingly getting better but today I reached behind me and the pain went down my backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — day 35, dose 2MedDRA: Physiotherapy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left arm and under arm issues. Still. But not constant. · Healthcare visit (other): Physical therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-18
- 2021-06-06
- 2021-09-03
-
2021-12-10
Dose 3 — Moderna
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Not too bad All of these on the milder side except for injection site pain
Release 3 — day 7, dose 1
Systemic reaction (other): Left side of throat hurt to swallow Maybe Lymph nodes swollen
Release 4 — day 14, dose 1
Symptoms: Left arm still hurts but not at injection site
Release 4 — day 28, dose 1
Symptoms: Left arm still hurts but not at injection site
Release 5 — day 7, dose 2
Systemic reaction (other): I was very sick last weekend. Lasted about 72 hours after injection
Release 6 — day 28, dose 2
Symptoms: left arm Still giving me trouble but seemingly getting better but today I reached behind me and the pain went down my back
Release 7 — day 35, dose 2
Symptoms: Left arm and under arm issues. Still. But not constant.
Healthcare visit (other): Physical therapy
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 | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release