YVR-44911-97429
5 vaccinations
10 coded responses
70 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: GoodFree text: Overnight, I broke out in a sweat, but nothing today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-12
Survey response — day 21, dose 1MedDRA: Office visit, SARS-CoV-2 test, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Being treated for a sinus infection with amoxicillin. Urgent Care also did a COVID Test to cover all the bases since it's respiratory related. Should get results back in 3 days from (b)(6).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Good · NauseaFree text: Some stomach upset today. Unsure whyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Feeling abnormal — Feeling: Good · NauseaFree text: Slight upset stomach and just feel a bit "off" normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-07-29
-
2021-07-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-08-20
Survey response — 6 months, dose 2MedDRA: Breast cancer stage I, Breast conserving surgery, Mammogram abnormal, Office visit, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Just had a lumpectomy and lymph node biopsy yesterday 8/19/2021. Small Stage 1 breast Cancer found in my left Breast on my annual mammogram 6/23/2021 · Healthcare visit (other): Office visit and outpatient surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-05
Dose 3 — Moderna
- 2021-09-05
-
2021-09-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-09-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-08
- 2021-09-09
- 2021-09-10
-
2021-09-11
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breaking into full blown sweats overnightMedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Survey response — day 7, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: sweatsMedDRA releases: 2024-11 · check-in free text available
- 2021-09-19
- 2021-09-26
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-12-05
- 2022-03-06
-
2022-03-11
Dose 4 — Moderna
- 2022-03-11
-
2022-03-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-03-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-03-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-03-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-03-16
- 2022-03-17
- 2022-03-18
- 2022-03-25
- 2022-04-01
- 2022-04-08
- 2022-04-15
- 2022-04-22
- 2022-06-10
- 2022-09-09
-
2022-12-10
Dose 5 — Moderna
- 2022-12-10
-
2022-12-11
Survey response — days 1–6 daily, dose 5MedDRA: Injection site warmth — Feeling: Good · Site: Pain, RednessFree text: Injection site is also warm to the touchMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Survey response — days 1–6 daily, dose 5MedDRA: Injection site warmth — Feeling: GoodFree text: Injection site feels slightly warmMedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-14
- 2022-12-15
- 2022-12-16
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-01-21
- 2023-03-11
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-05 | Moderna | No |
| 4 | 2022-03-11 | Moderna | No |
| 5 | 2022-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-12 | Successful 2021-07-29 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-08-20 | Successful 2021-08-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Overnight, I broke out in a sweat, but nothing today.
Release 4 — day 21, dose 1
Symptoms: Being treated for a sinus infection with amoxicillin. Urgent Care also did a COVID Test to cover all the bases since it's respiratory related. Should get results back in 3 days from (b)(6).
redacted (b)(6)
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus Congestion
Systemic reaction (other): Some stomach upset today. Unsure why
Systemic reaction (other): Slight upset stomach and just feel a bit "off" normal
Release 9 — 6 months, dose 2
Symptoms: Just had a lumpectomy and lymph node biopsy yesterday 8/19/2021. Small Stage 1 breast Cancer found in my left Breast on my annual mammogram 6/23/2021
Healthcare visit (other): Office visit and outpatient surgery
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Breaking into full blown sweats overnight
Release 9 — day 7, dose 3
Systemic reaction (other): sweats
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site is also warm to the touch
Systemic reaction (other): Injection site feels slightly warm
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 | ✓ | · | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Breast cancer stage I | ✓ | · | ✓ |
| SD | Breast conserving surgery | ✓ | · | ✓ |
| SD | Mammogram abnormal | ✓ | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release