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YXZ-32748-57583

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
018 / MA
Registered
2021-04-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-19
    Registered in v-safe
  3. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Night sweats — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Night sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-20
    Survey response — day 7, dose 1
    MedDRA: Asthenia, Fear, Headache, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday I had a sharp pain in my left side head/temple area. Scared me, but only lasted about a minute. Also the same in right leg. Also, no energy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Alopecia, Nausea — Feeling: Good
    Free text: Having some hair fallout. Never had that happen before. Also queezy stomach sometimes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-05
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-05-11
    Dose 2 — Moderna
  8. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: None so far
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea, Diarrhea
    Adult check-in
  12. 2021-05-18
    Survey response — day 7, dose 2
    MedDRA: Hunger — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Hungry all the time!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-26
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Felt good this morning, and headed out to do some shopping. The plan was to pick up some groceries then to a store to look for a fan. Unfortunately, I had to come right home because of diarhea (spelling?)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-06-16
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I still don't have my energy back. Also I feel slightly nausious on occassion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-22
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-08-10
    Survey response — 3 months, dose 2
    MedDRA: Angina pectoris, Asthenia, Chest pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have never gotten my energy back since my second shot. I had a very bad pain in my chest (heart) about a week after my second shot;that really scared me. It didn't last long. I got one a few days after that. It also didn't last long. None since.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-05-11
    Survey response — 12 months, dose 2
    MedDRA: Arthropathy, Influenza like illness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: My body feels like I have the flu...but I don't. It was really bad after the second shot. I seem to be improving from that, but my joints flare up really bad.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-05-11
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  22. 2022-05-12
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-05-11 Successful
2022-05-12
 Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Night sweats

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): Yesterday I had a sharp pain in my left side head/temple area. Scared me, but only lasted about a minute. Also the same in right leg. Also, no energy.

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Having some hair fallout. Never had that happen before. Also queezy stomach sometimes.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): None so far

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Hungry all the time!

Release 8 — day 14, dose 2

2021-05-26

Symptoms: Felt good this morning, and headed out to do some shopping. The plan was to pick up some groceries then to a store to look for a fan. Unfortunately, I had to come right home because of diarhea (spelling?)

Release 9 — day 35, dose 2

2021-06-16

Symptoms: I still don't have my energy back. Also I feel slightly nausious on occassion.

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: I have never gotten my energy back since my second shot. I had a very bad pain in my chest (heart) about a week after my second shot;that really scared me. It didn't last long. I got one a few days after that. It also didn't last long. None since.

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: My body feels like I have the flu...but I don't. It was really bad after the second shot. I seem to be improving from that, but my joints flare up really bad.

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

FieldPreferred term2021-092023-042024-11
SDAlopecia ✓ ✓ ✓
SDAngina pectoris ✓ · ✓
SDArthropathy · · ✓
SDAsthenia ✓ ✓ ✓
SDChest pain ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDNausea ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROFear ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHunger ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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