YZB-24721-31695
5 vaccinations
4 coded responses
68 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 544 / WI
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Injection site erythema — Feeling: GoodFree text: Slight red area at injection site noticed on day 9-14. No pain, itching, or anything else at site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-04-11
Dose 4 — Moderna
- 2022-04-11
-
2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 35, dose 4MedDRA: Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, nasal congestion, runny nose, sore throat and low grade fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: Headache, Hypertension, Medical counselling, Office visit, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tested positive for Covid 5/13/22 headache sore throat head congestion. Called my doctor started on molnupiravir 5/13 -5/18. On 5/26/22 new onset of persistent hypertension . Saw my doctor started hctz and now controlled . No he hypertension prior.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-12
-
2022-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-10
-
2022-10-14
Dose 5 — Moderna
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-11-11
Survey response — day 28, dose 5MedDRA: Influenza — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Influenza AMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-11 | Successful 2022-07-12 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 14, dose 1
Symptoms: Slight red area at injection site noticed on day 9-14. No pain, itching, or anything else at site.
Release 11 — day 35, dose 4
Symptoms: Headache, nasal congestion, runny nose, sore throat and low grade fever.
Release 12 — 3 months, dose 4
Symptoms: Tested positive for Covid 5/13/22 headache sore throat head congestion. Called my doctor started on molnupiravir 5/13 -5/18. On 5/26/22 new onset of persistent hypertension . Saw my doctor started hctz and now controlled . No he hypertension prior. cut off by CDC
Release 12 — day 28, dose 5
Symptoms: Influenza A
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 | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release