YYT-96828-93715
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 334 / FL
- Registered
- 2021-06-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-26
Dose 1 — Moderna
-
2021-06-27
Registered in v-safe
-
2021-06-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-28
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-03
- 2021-07-10
-
2021-07-17
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congestion, runny nose, headache, sore throwtMedDRA releases: 2024-11 · check-in free text available
-
2021-07-24
Dose 2 — Moderna
- 2021-07-24
-
2021-07-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-07-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-07-31
- 2021-08-09
- 2021-08-14
- 2021-08-21
- 2021-08-30
- 2021-09-04
- 2021-10-24
- 2022-01-22
-
2022-03-08
Dose 3 — Moderna
-
2022-03-10
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: SweatingMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2022-03-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-03-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2022-03-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2022-03-15
Health check-in — day 7, dose 3Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
-
2022-03-22
Survey response — day 14, dose 3MedDRA: Streptococcal infection — 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: StrepMedDRA releases: 2024-11 · check-in free text available
-
2022-03-22
Report sent to call center — day 14, dose 3Be 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)
-
2022-03-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-29
- 2022-04-05
-
2022-04-12
Survey response — day 35, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
-
2022-06-07
Survey response — 3 months, dose 3MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Body aches, chills, fever, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-09-06
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-26 | Moderna | No |
| 2 | 2021-07-24 | Moderna | No |
| 3 | 2022-03-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-22 | Successful 2022-03-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — day 21, dose 1
Symptoms: Congestion, runny nose, headache, sore throwt
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Sweating
Release 11 — day 14, dose 3
Symptoms: Strep
Release 11 — day 35, dose 3
Symptoms: Allergies
Release 11 — 3 months, dose 3
Symptoms: Body aches, chills, fever, headache
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release