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YYD-16760-97934

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
238 / VA
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: I have lupus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Chills, Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Chills, headache, fatigue, muscle ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Chills, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Chills and migraine constantly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Chills, Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Lupus is much worse.Chills grow more intense each time I get them, which was never before the vaccine and often since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Continuing lupus issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Lupus is much, much worse. The increase in lupus symptoms and problems is clearly caused by the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-09
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-05-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-02-27
    Survey response — 12 months, dose 2
    MedDRA: Ankle fracture, Joint injury, Ligament rupture, Tendon rupture — 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 visit, Emergency room or emergency department visit
    Free text: This is not covid related but since the question doesn't limit itself to covid or vaccines: I sustained a severe ankle injury while running, with broken bones, torn ligaments and tendons, pretty much everything torn up.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-02-27
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  18. 2022-02-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-09 Successful Participant prefers to complete VAERS report online
2022-02-27 Successful
2022-02-28
Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): I have lupus.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Chills, headache, fatigue, muscle ache

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Chills and migraine constantly

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Lupus is much worse.Chills grow more intense each time I get them, which was never before the vaccine and often since.

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Continuing lupus issues

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Lupus is much, much worse. The increase in lupus symptoms and problems is clearly caused by the vaccine.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: This is not covid related but since the question doesn't limit itself to covid or vaccines: I sustained a severe ankle injury while running, with broken bones, torn ligaments and tendons, pretty much everything torn up.

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
SDAnkle fracture · · ✓
SDChills ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDJoint injury · · ✓
SDLigament rupture · · ✓
SDMigraine ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSystemic lupus erythematosus ✓ ✓ ✓
SDTendon rupture · · ✓
SROPre-existing disease ✓ ✓ ✓

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