YYV-14582-89240
5 vaccinations
3 coded responses
44 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 904 / CA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tirednessFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-12
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-02
Dose 2 — Moderna
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2021-08-23
Dose 3 — Moderna
- 2021-08-23
-
2021-08-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-09-06
- 2021-09-13
- 2021-09-20
- 2021-09-27
- 2021-10-04
- 2021-11-22
-
2022-02-20
Dose 4 — Moderna
-
2022-02-21
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: COVID booster yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
-
2022-09-09
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-28
Survey response — day 14, dose 5MedDRA: Back pain — Feeling: Good · 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: Back painMedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — day 14, dose 5Be 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)
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-23
- 2022-12-09
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-23 | Moderna | No |
| 4 | 2022-02-20 | Moderna | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-28 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Bruising at injection site
Release 11 — 6 months, dose 3
Symptoms: COVID booster yesterday
Release 12 — day 14, dose 5
Symptoms: Back pain
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 | Back pain | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release