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YZE-20521-65562

3 vaccinations 4 coded responses 16 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
759 / TX
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-02
    Dose 2 — Moderna
  8. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Muscle soreness and aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-17
    Dose 3 — Moderna
  17. 2021-10-24
    Survey response — day 35, dose 3
    MedDRA: Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Friday, Sept. 18 - Sunday 20, 2021 Fever (99-101 degrees), achy, fatigued. Stayed in bed and slept. Recovered from vaccine side effects by Monday morning.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-24
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2021-10-27
  20. 2021-10-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-18
    Survey response — 3 months, dose 3
    MedDRA: Chills, Erythema, Fatigue, Pyrexia, Swelling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: After a full shot booster, I was out for the weekend with chills, fever, and fatigue. I also had a huge red and swollen SRW for a week! It's worth it all to know my immune system is strong!
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-18
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  23. 2021-12-20
  24. 2022-03-20
    Survey response — 6 months, dose 3
    MedDRA: Bronchitis, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Allergy and bronchitis · Healthcare visit (other): Doctor's office visit.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-20
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2022-03-22

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-02Moderna
32021-09-17Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-24 Unsuccessful
2021-12-18 Unsuccessful
2022-03-20 Unsuccessful

Free text

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Muscle soreness and aches.

Release 10 — day 35, dose 3

2021-10-24

Symptoms: Friday, Sept. 18 - Sunday 20, 2021 Fever (99-101 degrees), achy, fatigued. Stayed in bed and slept. Recovered from vaccine side effects by Monday morning.

Release 10 — 3 months, dose 3

2021-12-18

Symptoms: After a full shot booster, I was out for the weekend with chills, fever, and fatigue. I also had a huge red and swollen SRW for a week! It's worth it all to know my immune system is strong!

Release 11 — 6 months, dose 3

2022-03-20

Symptoms: Allergy and bronchitis
Healthcare visit (other): Doctor's office visit.

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 · · ✓
SDBronchitis · · ✓
SDChills · · ✓
SDErythema · · ✓
SDFatigue · · ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSwelling · · ✓

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