YXR-17915-83886
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 027 / MA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
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2021-03-31
Dose 1 — Moderna
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2021-03-31
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I also started my menstrual cycle, but am more tired than usual this monthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 1MedDRA: Erythema, Pain in extremity, Pruritus, Rash macular, Skin warm, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Day 8: arm sore again and slight redness beganDay 9: less sore, more redness, somewhat blotchy and warm to touchDay 10: not sore, redness about sameDay 11: slightly less redness, but also itches slightlyDays 12-14: redness grows and itches more · Healthcare visit (other): I have a regularly scheduled checkup with my doctor 4/15 and will discuss with her thenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — day 21, dose 1MedDRA: Erythema, Pruritus — Feeling: GoodFree text: Not worsening symptoms, but wanted to advise the redness and itching took an additional 6 days to go away- was very slow to clear upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Dose 2 — Moderna
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: General "fogginess" (inability to concentrate, etc.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-11
- 2021-07-29
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I also started my menstrual cycle, but am more tired than usual this month
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose
Release 7 — day 14, dose 1
Symptoms: Day 8: arm sore again and slight redness beganDay 9: less sore, more redness, somewhat blotchy and warm to touchDay 10: not sore, redness about sameDay 11: slightly less redness, but also itches slightlyDays 12-14: redness grows and itches more
Healthcare visit (other): I have a regularly scheduled checkup with my doctor 4/15 and will discuss with her then
Release 7 — day 21, dose 1
Symptoms: Not worsening symptoms, but wanted to advise the redness and itching took an additional 6 days to go away- was very slow to clear up
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): General "fogginess" (inability to concentrate, etc.)
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release