YZF-16409-82679
2 vaccinations
6 coded responses
15 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 775 / TX
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-19
Dose 1 — Moderna
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2021-04-11
Registered in v-safe
- 2021-04-11
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2021-04-16
Dose 2 — Moderna
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2021-04-16
Survey response — day 0, dose 2MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Mild anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning inside my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning inside the body at low back and right tricepMedDRA 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 2MedDRA: Back pain, Burning sensation, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Low back and right tricep burning sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-23
- 2021-05-01
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2021-05-07
Survey response — day 21, dose 2MedDRA: Tenderness — Feeling: GoodFree text: The vaccine flared up the site where I had shingles in 2019. And has been sensitive to the touch. It is the opposite arm not where I received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-23
- 2021-05-28
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Chills, Ear infection, Eye infection, Fatigue, Headache, Pyrexia, Sinusitis — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: In the month of July I developed sinus, eyes and ear infections with symptoms of fatigue, headaches, chills, fever for about a month.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-19
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-15 | Unsuccessful |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Mild anxiety
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Burning inside my body
Systemic reaction (other): Burning inside the body at low back and right tricep
Systemic reaction (other): Low back and right tricep burning sensation
Release 8 — day 21, dose 2
Symptoms: The vaccine flared up the site where I had shingles in 2019. And has been sensitive to the touch. It is the opposite arm not where I received the vaccine.
Release 10 — 6 months, dose 2
Symptoms: In the month of July I developed sinus, eyes and ear infections with symptoms of fatigue, headaches, chills, fever for about a month.
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 | Chills | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release