YX5-78067-70731
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 279 / NC
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Survey response — day 0, dose 1MedDRA: Throat irritation — Feeling: Good · HeadacheFree text: Scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discolouration, Pre-existing disease, Vitiligo — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesFree text: Hypopigmentation around injection site upper arm . Spread of a vitiligo syndromeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discolouration — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: White patches persist around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — day 7, dose 1MedDRA: Injection site discolouration — Feeling: Good · Muscle or body achesFree text: Blanching of color around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-06
-
2021-02-14
Survey response — day 28, dose 1MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Malaise, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: 2/18 day after vaccination I had fever and severe malaise. Extreme fatigue to such extent I just slept.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Fatigue, Tinnitus, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe fatigue . Constant ringing in ears, · Healthcare visit (other): Scheduled with eye, ear, nose doctor end of MayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
-
2022-02-17
Survey response — 12 months, dose 2MedDRA: Fatigue, Hyperhidrosis, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue, fever, sweatsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-19 | Successful 2022-05-12 |
Completed over the phone |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Scratchy throat
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Hypopigmentation around injection site upper arm . Spread of a vitiligo syndrome
Systemic reaction (other): White patches persist around injection site
Release 2 — day 7, dose 1
Systemic reaction (other): Blanching of color around injection site
Release 4 — day 28, dose 1
Symptoms: Severe joint pain
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 2/18 day after vaccination I had fever and severe malaise. Extreme fatigue to such extent I just slept.
Release 8 — 3 months, dose 2
Symptoms: Severe fatigue . Constant ringing in ears,
Healthcare visit (other): Scheduled with eye, ear, nose doctor end of May
Release 11 — 12 months, dose 2
Symptoms: Fatigue, fever, sweats
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Vitiligo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release