YXN-24408-32190
3 vaccinations
3 coded responses
27 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 820 / WY
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · NauseaAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-13
Survey response — day 14, dose 1MedDRA: Chills, Erythema, Fatigue, Pain, Pain in extremity, Pruritus — Feeling: GoodFree text: On 4-7 (day 8) my arm was sore and started to itch. Next day (4-8) the same and was red; felt nauseous. On 4-9 it was light pink, sore, and I was very tired all day, some mild chills. By Sat, 4-10, it was mostly better, very slight pain. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-04
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Yesterday I forgot to mention that I woke up with a sore throat. By evening it was better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-11-19
Dose 3 — Moderna
- 2022-04-27
-
2022-05-20
Survey response — 6 months, dose 3MedDRA: Influenza A virus test negative, Influenza B virus test negative, Office visit, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test negative, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat, congestion, achiness. Had two covid tests, RSV, Influenza A & B, and strep tests done. All negative. Took ibuprofen 200mg in evenings & some mornings. Feel better last few days. · Healthcare visit (other): Dr office for those tests only.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-23
Call successfulCompleted over the phone
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-20 | Successful 2022-05-23 |
Completed over the phone |
Free text
Release 7 — day 14, dose 1
Symptoms: On 4-7 (day 8) my arm was sore and started to itch. Next day (4-8) the same and was red; felt nauseous. On 4-9 it was light pink, sore, and I was very tired all day, some mild chills. By Sat, 4-10, it was mostly better, very slight pain. Thank you. cut off by CDC
Release 8 — day 7, dose 2
Systemic reaction (other): Yesterday I forgot to mention that I woke up with a sore throat. By evening it was better.
Release 11 — 6 months, dose 3
Symptoms: Sore throat, congestion, achiness. Had two covid tests, RSV, Influenza A & B, and strep tests done. All negative. Took ibuprofen 200mg in evenings & some mornings. Feel better last few days.
Healthcare visit (other): Dr office for those tests only.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza A virus test negative | · | · | ✓ |
| SD | Influenza B virus test negative | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release