YYQ-13602-37159
4 vaccinations
7 coded responses
55 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 030 / NH
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Sore arm at the shot siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: GoodFree text: Very mild discomfort at shot siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-04
- 2021-04-10
- 2021-04-17
- 2021-06-05
-
2021-09-04
Survey response — 6 months, dose 1MedDRA: Abdominal discomfort, Caffeine consumption, Pre-existing disease — Feeling: FairFree text: Mostly allergy symptoms and some upset stomach but probably due to the acidity in coffee. I love coffee but lately it has caused some upset stomach.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-24
Dose 2 — Moderna
-
2021-10-24
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-10-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-15
Dose 3 — Moderna
-
2022-04-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-04-17
- 2022-04-18
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: Some loose stool but probably not related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-10-11
Dose 4 — ModernaCo-administered: Flu
-
2022-10-14
Survey response — days 1–6 daily, dose 4MedDRA: Hand fracture — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Broke metacarpal bone in hand 3 weeks ago.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — 6 months, dose 3MedDRA: Fatigue, Pre-existing disease, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I tripped and broke a metacarpal bone in my hand 3 weeks ago. Am in a cast. Still sore. Getting better. Got my CoVid booster 2 days ago and was feverish and fatigued. Fine now.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-10-17
-
2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2023-01-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-24 | Moderna | No |
| 3 | 2022-04-15 | Moderna | No |
| 4 | 2022-10-11 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-14 | Successful 2022-10-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at the shot site
Systemic reaction (other): Very mild discomfort at shot site
Release 9 — 6 months, dose 1
Symptoms: Mostly allergy symptoms and some upset stomach but probably due to the acidity in coffee. I love coffee but lately it has caused some upset stomach.
Release 10 — day 0, dose 2
Systemic reaction (other): No
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Some loose stool but probably not related to vaccine
Release 12 — 6 months, dose 3
Symptoms: I tripped and broke a metacarpal bone in my hand 3 weeks ago. Am in a cast. Still sore. Getting better. Got my CoVid booster 2 days ago and was feverish and fatigued. Fine now.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Broke metacarpal bone in hand 3 weeks ago.
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 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | · | ✓ |
| SD | Caffeine consumption | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Hand fracture | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release