YYY-29722-15436
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 605 / IL
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-01
- 2021-01-02
- 2021-01-04
- 2021-01-06
- 2021-01-15
- 2021-01-21
-
2021-01-24
Dose 2 — Moderna
-
2021-02-03
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had the shot several days ago and reported an unusual occurrence via phone already.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-14
Survey response — day 21, dose 2MedDRA: Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sudden growth in my mouth, under the tongue. It appeared a few days after the shot. It may or may not be related to the shot. Its just an FY · Healthcare visit (other): I went to the dentist and he will remove it later this week. Im a non smokerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-23
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: FairFree text: I seem to be more fatigued, in general since I had the second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-07
Survey response — day 42, dose 2MedDRA: Copper deficiency — Feeling: GoodFree text: Unrelated, but found out I have a copper deficiency.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-05-21
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-25
- 2022-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-31 | priority 2/3 | |
| 2021-02-14 | Successful 2021-05-21 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): I had the shot several days ago and reported an unusual occurrence via phone already.
Release 4 — day 21, dose 2
Symptoms: Sudden growth in my mouth, under the tongue. It appeared a few days after the shot. It may or may not be related to the shot. Its just an FY
Healthcare visit (other): I went to the dentist and he will remove it later this week. Im a non smoker
Release 4 — day 28, dose 2
Symptoms: I seem to be more fatigued, in general since I had the second shot
Release 5 — day 42, dose 2
Symptoms: Unrelated, but found out I have a copper deficiency.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Copper deficiency | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release