YWB-21710-24761
5 vaccinations
5 coded responses
51 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 251 / WV
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Upper back pain on same side as injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: My chest feels tight and my upper back hurts. The 2nd vaccine really hit me hard.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Light breathing tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-10-30
Dose 3 — Moderna
- 2022-04-13
-
2022-05-20
Dose 4 — Moderna
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
-
2022-08-19
Survey response — 3 months, dose 4MedDRA: Back pain, COVID-19, Cough, Fatigue, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had Covid. Extreme back pain, fever, runny nose, cough, extreme fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Dose 5 — ModernaCo-administered: Flu
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-24
-
2022-10-31
Survey response — day 28, dose 5MedDRA: COVID-19, Dyspnoea, Office visit, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am having trouble breathing since I had Covid in Aug 2022. This doesn't have anything to do with the vaccine but my covid related breathing issues are getting worse. · Healthcare visit (other): Pulmonary SpecialistMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-01
- 2022-11-07
- 2022-11-15
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-10-03 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-31 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Upper back pain on same side as injection site.
Systemic reaction (other): My chest feels tight and my upper back hurts. The 2nd vaccine really hit me hard.
Systemic reaction (other): Light breathing tightness
Release 12 — 3 months, dose 4
Symptoms: I had Covid. Extreme back pain, fever, runny nose, cough, extreme fatigue.
Release 12 — day 28, dose 5
Symptoms: I am having trouble breathing since I had Covid in Aug 2022. This doesn't have anything to do with the vaccine but my covid related breathing issues are getting worse.
Healthcare visit (other): Pulmonary Specialist
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 | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release