YYD-14832-66074
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-06
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
-
2021-04-26
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-07-19
Survey response — 3 months, dose 2MedDRA: Arthropathy, Inflammation, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Right shoulder where received both vaccines have inflammation and shoulder issues. Not sure if related, but no injury occured · Healthcare visit (other): Have dr appointment on 7/29MedDRA releases: 2024-11 · check-in free text available
-
2021-07-19
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)
- 2021-07-27
-
2021-10-18
Survey response — 6 months, dose 2MedDRA: Malaise, Office visit, Optic neuritis, Periarthritis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Frozen shoulder of right arm continues to be an issue. In addition developed Optic nerve inflammation of the right eye. Both vaccines were given to right arm. Feeling poorly all summer. · Healthcare visit (other): Ortho and opthamolgyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-22
Call successfulDoes not wish to fill out VAERS report
-
2021-12-12
Dose 3 — Moderna
-
2022-04-19
Survey response — 12 months, dose 2MedDRA: Arthritis, Central nervous system inflammation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Right side inflammation of optic nerve. Also exacerbated symptoms of right shoulder inflammation Vaccine right arm. All symptoms occured right side. Mostly resolved now..MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-20
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-19 | Successful | Does not wish to fill out VAERS report |
| 2021-10-18 | Successful 2021-10-22 |
Does not wish to fill out VAERS report |
| 2022-04-19 | Successful 2022-04-20 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — 3 months, dose 2
Symptoms: Right shoulder where received both vaccines have inflammation and shoulder issues. Not sure if related, but no injury occured
Healthcare visit (other): Have dr appointment on 7/29
Release 10 — 6 months, dose 2
Symptoms: Frozen shoulder of right arm continues to be an issue. In addition developed Optic nerve inflammation of the right eye. Both vaccines were given to right arm. Feeling poorly all summer.
Healthcare visit (other): Ortho and opthamolgy
Release 11 — 12 months, dose 2
Symptoms: Right side inflammation of optic nerve. Also exacerbated symptoms of right shoulder inflammation Vaccine right arm. All symptoms occured right side. Mostly resolved now..
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Central nervous system inflammation | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Optic neuritis | · | · | ✓ |
| SD | Periarthritis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release