YVT-26902-78593
3 vaccinations
6 coded responses
18 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 025 / MA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 2 — Moderna
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2021-03-17
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: I just received it so no SE notes yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Just more pain at injection site than expected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-04-01
- 2021-04-07
- 2021-04-16
- 2021-04-28
- 2021-06-16
- 2021-09-19
- 2022-03-17
-
2022-04-20
Dose 3 — Moderna
-
2022-04-29
Survey response — day 7, dose 3MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test positive — Feeling: Fair · Site: PainFree text: I received the booster vaccine on 4/20/22. I tested + for COVID-19 with a home test on 4/23/23 as I was exposed to my B/F who tested +. 4/23 I confirmed with + test at CVSMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — day 14, dose 3MedDRA: Bronchitis, Influenza, Malaise, Nausea, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Vomiting — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: + test COVID-19 on 4/22 I was I'll with flu symptoms and fever until 4/29. I wa then sick with nausea from4/30-5/1 when the vomiting started lasted until 5/3. I am currently back to bronchitis and respiratory symptoms which continues right now .MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — day 14, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
- 2022-05-10
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2022-05-11
Survey response — day 21, dose 3MedDRA: Blood glucose increased, Diabetes mellitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I was diagnosed with diabetes my blood sugar was over 500 tho did not have to do with the vaccinationMedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-13
- 2022-05-13
- 2022-05-26
- 2022-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2022-04-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Unsuccessful | |
| 2022-05-11 | Unsuccessful |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I just received it so no SE notes yet.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just more pain at injection site than expected.
Systemic reaction (other): None
Release 11 — day 7, dose 3
Systemic reaction (other): I received the booster vaccine on 4/20/22. I tested + for COVID-19 with a home test on 4/23/23 as I was exposed to my B/F who tested +. 4/23 I confirmed with + test at CVS
Release 11 — day 14, dose 3
Symptoms: + test COVID-19 on 4/22 I was I'll with flu symptoms and fever until 4/29. I wa then sick with nausea from4/30-5/1 when the vomiting started lasted until 5/3. I am currently back to bronchitis and respiratory symptoms which continues right now .
Release 11 — day 21, dose 3
Symptoms: I was diagnosed with diabetes my blood sugar was over 500 tho did not have to do with the vaccination
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 | Blood glucose increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release