YZP-23838-59753
1 vaccination
3 coded responses
7 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 894 / NV
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Survey response — day 7, dose 1MedDRA: Dizziness, Pain, Paraesthesia, Syncope — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Faint feeling with prickly headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 7, 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)
-
2021-02-18
Survey response — day 14, dose 1MedDRA: COVID-19, Fear, Malaise, Pain, Respiratory tract congestion — 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: Chest congestion. I feel as if I have COVID. Ill see my primary doctor on Monday. Perhaps get chest X-ray. My body aches are going away. This has been very scary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
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)
- 2021-02-25
- 2021-03-18
- 2021-05-06
- 2021-07-30
- 2021-08-07
-
2022-02-04
Survey response — 12 months, dose 1MedDRA: Arthralgia, Ligament sprain, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I feel good overall. Ankle was sprained or broken in July from my two 70 lb dogs running into me. Now the pain goes up my leg knee to my hip. Ugh. · Healthcare visit (other): It was my regular physical. She referred me to a podiatrist but we moved so now I need to find a podiatrist here in (b)(6).MedDRA releases: 2024-11 · check-in free text available
-
2022-02-04
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-07
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-12 | Successful | Completed over the phone |
| 2021-02-18 | Successful | Completed over the phone |
| 2022-02-04 | Successful 2022-02-07 |
Completed over the phone |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Faint feeling with prickly head
Release 4 — day 14, dose 1
Symptoms: Chest congestion. I feel as if I have COVID. Ill see my primary doctor on Monday. Perhaps get chest X-ray. My body aches are going away. This has been very scary.
Release 11 — 12 months, dose 1
Symptoms: I feel good overall. Ankle was sprained or broken in July from my two 70 lb dogs running into me. Now the pain goes up my leg knee to my hip. Ugh.
Healthcare visit (other): It was my regular physical. She referred me to a podiatrist but we moved so now I need to find a podiatrist here in (b)(6).
redacted (b)(6)
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 | Arthralgia | · | · | ✓ |
| SD | COVID-19 | ✓ | ✓ | ○ |
| SD | Fear | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ○ |
| SRO | Syncope | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release