YY9-28102-83378
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 895 / NV
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body achesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-07
- 2021-04-14
-
2021-04-22
Survey response — day 21, dose 2MedDRA: Injection site dryness, Injection site pruritus, Injection site swelling, Pre-existing disease — Feeling: GoodFree text: Very minor thing. I suffer from psoriasis. The area where my second shot swelled weeks ago has now become dry and itchy. It is the exact size of the swelling. Its not painful. This didnt happen with the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — day 28, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Headache, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: A couple nights ago, I was overcome with chills. I could not stop extreme shivering even under all kinds of blankets. I was also run down, achy, had diarrhea and a slight headache. I took my temp multiple times but it was normal. I feel better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
-
2021-05-14
Survey response — day 42, dose 2MedDRA: Pre-existing disease, Psoriasis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I suffer from psoriasis. Since receiving the shot, I developed guttate psoriasis which in the past, Ive only developed when I have been sick. It seems to be fading now but I have an appointment with my doctor next week. · Healthcare visit (other): Made a regular appointment with my dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-02
- 2022-05-11
-
2022-05-16
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-14 | Successful 2022-05-16 |
Completed over the phone |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 7 — day 21, dose 2
Symptoms: Very minor thing. I suffer from psoriasis. The area where my second shot swelled weeks ago has now become dry and itchy. It is the exact size of the swelling. Its not painful. This didnt happen with the first shot.
Release 8 — day 28, dose 2
Symptoms: A couple nights ago, I was overcome with chills. I could not stop extreme shivering even under all kinds of blankets. I was also run down, achy, had diarrhea and a slight headache. I took my temp multiple times but it was normal. I feel better now. cut off by CDC
Release 8 — day 42, dose 2
Symptoms: I suffer from psoriasis. Since receiving the shot, I developed guttate psoriasis which in the past, Ive only developed when I have been sick. It seems to be fading now but I have an appointment with my doctor next week.
Healthcare visit (other): Made a regular appointment with my dermatologist
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 | Psoriasis | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site dryness | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Psoriasis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release