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YYN-20551-69313

2 vaccinations 10 coded responses 14 check-ins 10 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
359 / AL
Registered
2021-01-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Self-medication — Feeling: Good · Site: Pain · Headache
    Free text: I took 1 tynenol 8 hours after injection. I rubbed blue emu on site of injection to help with soreness at bedtime
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain · Headache
    Free text: Headache for 2 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Oropharyngeal pain, Pain, Pain in jaw — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: Ear and jaw pain last evening Sore throat for 2 days. Aches and pain in numerous body parts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ageusia, Anosmia, Injection site pain, Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: 1st yesterday lost smell still do not have it back. Sharp pains in injection site Today no taste Some mild pains in arm. Does this mean I have covid? Do I need to be tested? Or will I test positive fir having it since I have had injection of vaccine. Since vaccine I have had most all symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Ageusia, Anosmia, Pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches
    Free text: Today has turned off cold and wet. Not sure if my aches are because of the weather. No smell or taste going on 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Ageusia, Anosmia, Dizziness, Epistaxis, Lip dry, Medical counselling, SARS-CoV-2 test positive, Self-medication, Sinusitis — Feeling: Good · Be unable to work
    Free text: Loss of taste/smell. Tested positive for Covid Still no taste or smell. Have taken muconex d daily Vitamin c. D. Apple cider caps elderberry Aspirin and Pepcid And a Dose Z pack. sinus infection/ blood in nose lips parched Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-14
    Report sent to call center — day 14, dose 1
    Be unable to work
    1 call case(s)
  11. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-28
    Dose 2 — Moderna
  13. 2021-02-21
    Survey response — day 21, dose 2
    MedDRA: Anosmia, COVID-19, Feeling abnormal, Freezing phenomenon, Headache, Nausea, Productive cough — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had Covid after 1st vaccine. Smell still not recovered. Lots of mucus coughing up still. After 2 Nd vaccine 12 hrs later freezing, headache, and nausea. Felt terrible Would not have gone into work if I had known how bad I was gonna feel
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-11
    Survey response — day 42, dose 2
    MedDRA: Hypersensitivity, Rash, Rash vesicular — Feeling: Good
    Free text: Had some bumps on my face. Not had one in years. 3 bumps. And had reaction to backache lotions. Blister rash where the creams were. I have used for years. Maybe a coeindence but not normal reaction
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-01
    Survey response — 3 months, dose 2
    MedDRA: Anosmia, Dyspnoea, Herpes zoster, Nasopharyngitis — Feeling: Good
    Free text: Shingles for 1st time. Few weeks later breathing problems cold. Still no smell back yet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-07-30
    Survey response — 6 months, dose 2
    MedDRA: Cough, Globulins decreased, Medical counselling, Office visit, Pre-existing disease, Respiratory tract infection — Feeling: Fair · 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: Symptoms: Respiratory infection. Maybe pneumonia the way I cough was. Took steroid shot and dose of steroids and 2 rounds of antibiotics. Have had shingles my health has been compromised. My globulins level is low. · Healthcare visit (other): Work at hospital. So they saw me while at work. Then went to my dr
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-07-30
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-08-04

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 priority 2/3
2021-07-30 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): I took 1 tynenol 8 hours after injection. I rubbed blue emu on site of injection to help with soreness at bedtime

2021-01-02

Systemic reaction (other): Headache for 2 days

2021-01-04

Systemic reaction (other): Ear and jaw pain last evening Sore throat for 2 days. Aches and pain in numerous body parts

2021-01-06

Systemic reaction (other): 1st yesterday lost smell still do not have it back. Sharp pains in injection site Today no taste Some mild pains in arm. Does this mean I have covid? Do I need to be tested? Or will I test positive fir having it since I have had injection of vaccine. Since vaccine I have had most all symptoms.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Today has turned off cold and wet. Not sure if my aches are because of the weather. No smell or taste going on 3 days

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Loss of taste/smell. Tested positive for Covid Still no taste or smell. Have taken muconex d daily Vitamin c. D. Apple cider caps elderberry Aspirin and Pepcid And a Dose Z pack. sinus infection/ blood in nose lips parched Dizzy cut off by CDC

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Had Covid after 1st vaccine. Smell still not recovered. Lots of mucus coughing up still. After 2 Nd vaccine 12 hrs later freezing, headache, and nausea. Felt terrible Would not have gone into work if I had known how bad I was gonna feel cut off by CDC

Release 5 — day 42, dose 2

2021-03-11

Symptoms: Had some bumps on my face. Not had one in years. 3 bumps. And had reaction to backache lotions. Blister rash where the creams were. I have used for years. Maybe a coeindence but not normal reaction

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Shingles for 1st time. Few weeks later breathing problems cold. Still no smell back yet

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Respiratory infection. Maybe pneumonia the way I cough was. Took steroid shot and dose of steroids and 2 rounds of antibiotics. Have had shingles my health has been compromised. My globulins level is low.
Healthcare visit (other): Work at hospital. So they saw me while at work. Then went to my dr

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
HCVOMedical counselling ✓ · ✓
HCVOOffice visit ✓ · ✓
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDCough ✓ · ✓
SDCOVID-19 ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEpistaxis ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFreezing phenomenon ✓ ✓ ✓
SDGlobulins decreased ✓ · ✓
SDHeadache ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDLip dry ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDProductive cough ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash vesicular ✓ ✓ ✓
SDRespiratory tract infection ✓ · ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROAgeusia ✓ ✓ ✓
SROAnosmia ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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