YZ9-18262-81699
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 950 / CA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Moderna
-
2021-04-30
Registered in v-safe
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush, Irritability, Mood swings — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Hot flashes, grumpy, moody, emotionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
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2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-12
Survey response — day 14, dose 1MedDRA: Bone graft, Muscle strain, Office visit, Pain, Tooth extraction — Feeling: Poor · Be unable to work, 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: Symptoms: Pulled back muscle & had a difficult & painful tooth extraction w bone grafting. · Healthcare visit (other): Dental office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — day 21, dose 1MedDRA: Bone graft, Tooth extraction, Tooth infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tooth extraction w bone grafting & separate tooth infection requiring antibiotics & needing root canal tx.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-27
Dose 2 — Moderna
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2021-06-03
Survey response — day 7, dose 2MedDRA: Hot flush, Injection site warmth — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I felt like one big hot flash for the first three days after 2nd shot, the warm feeling started at the injection site & spread throughout my body, resembling a 3+ day long hot flash!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-06-19
- 2021-06-26
- 2021-07-01
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2021-07-10
Survey response — day 42, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Menorrhagia, which is a slight increase from my usual monthly menses symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
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2022-05-01
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-12 | Successful | Not applicable - Accidental Reporting |
| 2021-05-21 | Successful 2022-05-01 |
Not applicable - Accidental Reporting |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Hot flashes, grumpy, moody, emotional
Release 8 — day 14, dose 1
Symptoms: Pulled back muscle & had a difficult & painful tooth extraction w bone grafting.
Healthcare visit (other): Dental office visit
Release 8 — day 21, dose 1
Symptoms: Tooth extraction w bone grafting & separate tooth infection requiring antibiotics & needing root canal tx.
Release 8 — day 7, dose 2
Systemic reaction (other): I felt like one big hot flash for the first three days after 2nd shot, the warm feeling started at the injection site & spread throughout my body, resembling a 3+ day long hot flash!
Release 9 — day 42, dose 2
Symptoms: Menorrhagia, which is a slight increase from my usual monthly menses symptoms.
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 | Bone graft | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ○ | ○ | ○ |
| SD | Tooth extraction | ✓ | ✓ | ✓ |
| SD | Tooth infection | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Mood swings | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release