YZ5-27262-59874
3 vaccinations
23 coded responses
34 check-ins
23 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 350 / AL
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-17
Registered in v-safe
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2021-04-17
Dose 1 — Moderna
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2021-04-17
Survey response — day 0, dose 1MedDRA: Back pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal painFree text: Back pain lowerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dyspepsia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Heartburn n dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Heart rate increased, Heart rate irregular — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Heart rate up n down and some dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Pruritus — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Swollen neck glands n lotsa itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 7, dose 1MedDRA: Malaise — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Still jus feeling mildly crappyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-17
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2021-05-21
Dose 2 — Moderna
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2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Really sore backacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Back pain n swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen glands n neck and rash at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia, Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swollen neck glands n heartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: Swelling · HeadacheFree text: Significant gland swelling on left side but mild painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 7, dose 2MedDRA: Dyspepsia — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-06-11
- 2021-06-20
- 2021-06-25
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2021-07-02
Survey response — day 42, dose 2MedDRA: Cardiac flutter — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heart flutteringMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-22
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat mild coughMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-19
Dose 3 — ModernaCo-administered: yes
- 2021-11-22
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Good · Site: Pain · HeadacheFree text: Lower back pain since shot was givenMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Back pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Backache is pretty much the worst of all symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: BackacheMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — day 7, dose 3MedDRA: Back pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: Back painMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 14, dose 3MedDRA: Abdominal pain, Back pain, Nausea — Feeling: Fair · Be unable to work or attend schoolFree text: Very bad nausea n belly aches n back painMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — day 21, dose 3MedDRA: Back pain, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Extreme back pain n headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
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2021-12-24
Survey response — day 35, dose 3MedDRA: Cough — Feeling: FairFree text: Mild coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
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2022-02-18
Survey response — 3 months, dose 3MedDRA: Cough, Dyspnoea, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Coughing and runny nose n some short of breathMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Survey response — 12 months, dose 3MedDRA: Aortic arteriosclerosis, COVID-19, Oesophageal disorder, Renal cyst — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Discovered I have kidney cysts n calcification on my right side of me esophageal tube n atherosclerosis in my aorta. Had a cr scan before Covid n none of that showed up prior!MedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-21 | Moderna | |
| 3 | 2021-11-19 | Moderna | Yes |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-21 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Back pain lower
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Heartburn n dizzy
Systemic reaction (other): Heart rate up n down and some dizziness
Systemic reaction (other): Heartburn
Systemic reaction (other): Swollen neck glands n lotsa itching
Release 7 — day 7, dose 1
Systemic reaction (other): Still jus feeling mildly crappy
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Really sore backache
Systemic reaction (other): Back pain n swollen glands
Systemic reaction (other): Swollen glands n neck and rash at injection site
Systemic reaction (other): Swollen neck glands n heartburn
Systemic reaction (other): Significant gland swelling on left side but mild pain
Release 8 — day 7, dose 2
Systemic reaction (other): Heartburn
Release 9 — day 42, dose 2
Symptoms: Heart fluttering
Release 9 — 3 months, dose 2
Symptoms: Sore throat mild cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lower back pain since shot was given
Systemic reaction (other): Backache is pretty much the worst of all symptoms
Systemic reaction (other): Backache
Release 10 — day 7, dose 3
Systemic reaction (other): Back pain
Release 10 — day 14, dose 3
Symptoms: Very bad nausea n belly aches n back pain
Release 10 — day 21, dose 3
Symptoms: Extreme back pain n headache
Release 10 — day 35, dose 3
Symptoms: Mild cough
Release 11 — 3 months, dose 3
Symptoms: Coughing and runny nose n some short of breath
Release 12 — 12 months, dose 3
Symptoms: Discovered I have kidney cysts n calcification on my right side of me esophageal tube n atherosclerosis in my aorta. Had a cr scan before Covid n none of that showed up prior!
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 pain | · | · | ✓ |
| SD | Aortic arteriosclerosis | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oesophageal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Renal cyst | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ○ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release