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YZR-31295-96396

4 vaccinations 5 coded responses 47 check-ins 4 free-text entries 5 call cases
Sex
—
Age at first dose
66+
ZIP prefix
433 / OH
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Survey response — day 21, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Possibly some tenderness or tension in my lower abdomen. I wonder if it might be related to lymph nodes as I've been reading that this sometimes is happening with women and concern about lumps near the breast. It seems better this week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-02
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-09
    Dose 2 — Moderna
  15. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  19. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-07
    Survey response — 6 months, dose 2
    MedDRA: Pre-existing disease, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Allergies-stuffy head
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-09-07
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-09-08
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  32. 2021-09-08
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2021-10-27
    Dose 3 — Moderna
  34. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Chills, Muscle or body aches
    Adult check-in
  36. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-12
    Survey response — day 14, dose 3
    MedDRA: Cough, Influenza virus test negative, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Seasonal allergies - sinus and chest congestion, cough. Had a negative Covid and flu test, seeing improvement
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-11-12
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  43. 2021-11-15
  44. 2021-11-16
  45. 2021-11-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  46. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  47. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  48. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  49. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  50. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  51. 2022-04-08
    Dose 4 — Pfizer-BioNTech
  52. 2022-04-19
    Survey response — day 7, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ive had "muscle knots" in my legs which I've been receiving treatment for. I believe this is not related to the vaccines but to doing repetitive exercises during the last year.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-04-19
    Report sent to call center — day 7, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  54. 2022-04-21
    Call successful
    Not applicable - Accidental Reporting
  55. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-05-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  62. 2023-04-08
    Survey response — 12 months, dose 4
    MedDRA: Arthropathy, Hypertension, Office visit, Physiotherapy, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  63. 2023-04-08
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  64. 2023-04-10

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-10-27Moderna No
42022-04-08Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-02 Successful
2021-09-08
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-07 Successful
2021-09-08
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-12 Successful
2021-11-16
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-19 Successful
2022-04-21
 Not applicable - Accidental Reporting
2023-04-08 Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Possibly some tenderness or tension in my lower abdomen. I wonder if it might be related to lymph nodes as I've been reading that this sometimes is happening with women and concern about lumps near the breast. It seems better this week.

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Allergies-stuffy head

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Seasonal allergies - sinus and chest congestion, cough. Had a negative Covid and flu test, seeing improvement

Release 11 — day 7, dose 4

2022-04-19

Systemic reaction (other): Ive had "muscle knots" in my legs which I've been receiving treatment for. I believe this is not related to the vaccines but to doing repetitive exercises during the last year.

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 · · ✓
HCVOPhysiotherapy · · ✓
SDArthropathy · · ✓
SDCough · · ✓
SDHypertension · · ✓
SDInfluenza virus test negative · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion · · ✓
SDUnevaluable event ✓ ✓ ✓
SROPre-existing disease · · ✓

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

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