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YVZ-33160-22615

5 vaccinations 9 coded responses 62 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
630 / MO
Registered
2021-02-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-28
    Registered in v-safe
  2. 2021-02-28
    Dose 1 — Moderna
  3. 2021-02-28
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Postmenopausal haemorrhage — Feeling: Good · Site: Pain
    Free text: I am post menopausal using estrogen patches and progesterone. Ive had no problems with my medsbut Ive started menstruating. I imagine its something else wrong, and just a coincidence that it is happening after the vaccinebut Im sharing, because i think you want the data points.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-14
    Survey response — day 14, dose 1
    MedDRA: Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rash on my legs and inner arms. Very itchy. No pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-28
    Dose 2 — Moderna
  13. 2021-03-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Adult check-in
  16. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-04-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-19
    Survey response — day 21, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Elbow and ankle hurt. No apparent reason. Joint hurts. Sometimes both have trouble bearing weight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-26
    Survey response — 6 months, dose 2
    MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: High blood pressure
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  28. 2021-09-30
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Very swollen lymph node in armpit of the arm i got the vaccine in
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Lymph node in armpit is tender and sore
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Lymph node in left armpit still tender
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-30
    Dose 4 — Moderna
  45. 2022-03-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  46. 2022-04-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  47. 2022-04-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  48. 2022-04-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  49. 2022-04-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-04-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-04-06
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  52. 2022-04-13
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-04-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-04-27
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-04
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-09-16
    Dose 5 — Moderna
    Co-administered: Flu
  59. 2022-09-17
    Survey response — days 1–6 daily, dose 5
    MedDRA: Brain fog — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Brain fog
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-09-18
    Survey response — days 1–6 daily, dose 5
    MedDRA: Brain fog — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Brain fog
    MedDRA releases: 2024-11 · check-in free text available
  61. 2022-09-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  62. 2022-09-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  63. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  64. 2022-09-25
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  65. 2022-10-07
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  66. 2022-10-16
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  67. 2022-10-21
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  68. 2022-10-30
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  69. 2022-12-16
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  70. 2023-03-17
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-28Moderna
22021-03-28Moderna
32021-10-29Moderna No
42022-03-30Moderna No
52022-09-16Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-09-26 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): I am post menopausal using estrogen patches and progesterone. Ive had no problems with my medsbut Ive started menstruating. I imagine its something else wrong, and just a coincidence that it is happening after the vaccinebut Im sharing, because i think you want the data points.

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Rash on my legs and inner arms. Very itchy. No pain.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Elbow and ankle hurt. No apparent reason. Joint hurts. Sometimes both have trouble bearing weight.

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: High blood pressure

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Very swollen lymph node in armpit of the arm i got the vaccine in

2021-11-02

Systemic reaction (other): Lymph node in armpit is tender and sore

2021-11-03

Systemic reaction (other): Lymph node in left armpit still tender

Release 12 — days 1–6 daily, dose 5

2022-09-17

Systemic reaction (other): Brain fog

2022-09-18

Systemic reaction (other): Brain fog

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDHypertension · · ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROBrain fog · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPostmenopausal haemorrhage ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release