YWK-60993-16944
3 vaccinations
12 coded responses
14 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 274 / NC
- Registered
- 2021-12-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Moderna
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2021-04-04
Dose 2 — Moderna
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2021-12-03
Dose 3 — Pfizer-BioNTech
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2021-12-04
Registered in v-safe
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain on my back up and lowMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Blood pressure increased, Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Mareos, un poco elevada la presionMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Un poco de mareoMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Dizziness, Pruritus, Wheezing — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dolor en el pecho,mareos , respiración con silbidos,comezón en algunas partes del cuerpoMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Dizziness — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Dolor en pecho, ligeros mareosMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — day 7, dose 3MedDRA: Chest pain, Dizziness, Feeling cold, Hypoaesthesia, Wheezing — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Mareos, silbidos cuando respiro,dolor de pecho y en la noche se durmieron mis manos y siento como si estuviera un lÃquido helado en mis huesosMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — day 14, dose 3MedDRA: Arthralgia, Bone pain, Chest pain, Cough, Dysphonia, Fatigue, Headache, Muscle spasms, Respiration abnormal, Unevaluable event, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dolores en articulaciones, dolor de cabeza diario, wheezing al reÃr , respirar, Un poco de tos, ronquera , cansancio,aveces dolor en el pecho, dolor de huesos, calambres, suspiros profundosMedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Survey response — day 21, dose 3MedDRA: Arthralgia, Arthropathy, Back pain, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Problemas cuando camino me duele mucho la caderas y espalda baja y se me traba para dar el paso dolor articulacionesMedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — day 28, dose 3MedDRA: Dizziness, Feeling of body temperature change, Headache, Pain, Tremor — Feeling: Fair · Be unable to work or attend schoolFree text: Siento como un temblor dentro de todo mi cuerpo los huesos como con lÃquido frÃo o aveces caliente , ligeros mareos aveces dolor de cabeza e intenso del cuerpoMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — day 35, dose 3MedDRA: Chest pain, Chills, Dizziness, Dyskinesia, Fatigue, Pain in extremity, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cansancio, mareos movimientos involuntarios en la mano izquierda en los dedos,escalofrÃos, dolor de pecho coyonturas , piernas dolores, un silbido al respirarMedDRA releases: 2024-11 · check-in free text available
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2022-01-14
Survey response — day 42, dose 3MedDRA: Breath sounds abnormal, Chills, Dizziness, Dyskinesia, Dysphonia, Fatigue, Feeling hot, Hypoaesthesia, Pain in extremity, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Comezón, silbidos en el pecho , aveces movimiento involuntario en las manos , aveces se me adormecen las más manos, cansancio, voz ronca, mareo un poco en los huesos los sientes como si estuvieran calientes, aveces escalofrÃos, dolor de piernas caMedDRA releases: 2024-11 · check-in free text available
- 2022-03-05
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2022-06-04
Survey response — 6 months, dose 3MedDRA: Arthralgia, Balance disorder, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Unbalanced sometimes and tired, pain on my jointsMedDRA releases: 2024-11 · check-in free text available
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2022-06-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-07
- 2022-06-10
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | No |
| 2 | 2021-04-04 | Moderna | No |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-04 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain on my back up and low
Systemic reaction (other): Mareos, un poco elevada la presion
Systemic reaction (other): Un poco de mareo
Systemic reaction (other): Dolor en el pecho,mareos , respiración con silbidos,comezón en algunas partes del cuerpo
Systemic reaction (other): Dolor en pecho, ligeros mareos
Release 10 — day 7, dose 3
Systemic reaction (other): Mareos, silbidos cuando respiro,dolor de pecho y en la noche se durmieron mis manos y siento como si estuviera un lÃquido helado en mis huesos
Release 10 — day 14, dose 3
Symptoms: Dolores en articulaciones, dolor de cabeza diario, wheezing al reÃr , respirar, Un poco de tos, ronquera , cansancio,aveces dolor en el pecho, dolor de huesos, calambres, suspiros profundos
Release 10 — day 21, dose 3
Symptoms: Problemas cuando camino me duele mucho la caderas y espalda baja y se me traba para dar el paso dolor articulaciones
Release 10 — day 28, dose 3
Symptoms: Siento como un temblor dentro de todo mi cuerpo los huesos como con lÃquido frÃo o aveces caliente , ligeros mareos aveces dolor de cabeza e intenso del cuerpo
Release 10 — day 35, dose 3
Symptoms: Cansancio, mareos movimientos involuntarios en la mano izquierda en los dedos,escalofrÃos, dolor de pecho coyonturas , piernas dolores, un silbido al respirar
Release 10 — day 42, dose 3
Symptoms: Comezón, silbidos en el pecho , aveces movimiento involuntario en las manos , aveces se me adormecen las más manos, cansancio, voz ronca, mareo un poco en los huesos los sientes como si estuvieran calientes, aveces escalofrÃos, dolor de piernas ca cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Unbalanced sometimes and tired, pain on my joints
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 | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Breath sounds abnormal | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyskinesia | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Respiration abnormal | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Blood pressure increased | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release