YVU-13859-05291
4 vaccinations
8 coded responses
53 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 482 / MI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QK9-75229-12538
Child or adolescent in my care · Male · 2021-11-03
RMW-91740-77657
Child or adolescent in my care · Female · 2022-06-29
A5H-20172-45300
Child or adolescent in my care · Male · 2022-08-01
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Palpitations — Feeling: FairFree text: Heart palpitations and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Ageusia, Anosmia, Dizziness, Dyspnoea, Fatigue, Headache, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I tested positive for covid. Loss of taste and smell, fatigue, headache, dizziness, shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
-
2021-05-19
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Pregnant!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
-
2021-10-24
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased, Neck pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Neck soreness, resting HR 100-110 bpmMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: I have a cold with a sore throat and sniffles. Just wanted to complain to someone lol.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis, Pre-existing disease, Viral infection — Feeling: Fair · Fatigue or tirednessFree text: Symptoms may be related to a cold virus I currently have. Not covid or the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-15
Call successfulNot applicable - Accidental Reporting
- 2022-04-24
- 2022-07-20
-
2022-10-22
Dose 4 — Moderna
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · Joint painsAdult check-in
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-28
- 2022-12-03
- 2023-01-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Successful 2022-04-15 |
Not applicable - Accidental Reporting |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Heart palpitations and dizziness
Systemic reaction (other): Sore throat
Release 8 — day 14, dose 2
Symptoms: I tested positive for covid. Loss of taste and smell, fatigue, headache, dizziness, shortness of breath.
Release 8 — day 28, dose 2
Symptoms: Extreme fatigue
Release 9 — 3 months, dose 2
Symptoms: Pregnant!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Neck soreness, resting HR 100-110 bpm
Systemic reaction (other): I have a cold with a sore throat and sniffles. Just wanted to complain to someone lol.
Systemic reaction (other): Symptoms may be related to a cold virus I currently have. Not covid or the vaccine.
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release