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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

  1. 2021-04-28
    Dose 1 — Moderna
  2. 2021-04-30
    Registered in v-safe
  3. 2021-04-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hot flush, Irritability, Mood swings — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Hot flashes, grumpy, moody, emotional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Swelling · Headache
    Adult check-in
  7. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: 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 activities
    Adult check-in
  8. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-05-12
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free text: Symptoms: Pulled back muscle & had a difficult & painful tooth extraction w bone grafting. · Healthcare visit (other): Dental office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-12
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-05-21
    Survey response — day 21, dose 1
    MedDRA: Bone graft, Tooth extraction, Tooth infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  12. 2021-05-21
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-27
    Dose 2 — Moderna
  14. 2021-06-03
    Survey response — day 7, dose 2
    MedDRA: Hot flush, Injection site warmth — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  15. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-10
    Survey response — day 42, dose 2
    MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  20. 2021-08-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-01
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Moderna
22021-05-27Moderna

Call center

ReportedOutcomeVAERS-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

2021-04-30

Systemic reaction (other): Hot flashes, grumpy, moody, emotional

Release 8 — day 14, dose 1

2021-05-12

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

2021-05-21

Symptoms: Tooth extraction w bone grafting & separate tooth infection requiring antibiotics & needing root canal tx.

Release 8 — day 7, dose 2

2021-06-03

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

2021-07-10

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBone graft ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDMuscle strain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ○ ○ ○
SDTooth extraction ✓ ✓ ✓
SDTooth infection ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROIrritability ✓ ✓ ✓
SROMood swings ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release