YZS-14225-39596
5 vaccinations
4 coded responses
43 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-07
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-04
Dose 2 — Moderna
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Rash, Rash papular — Feeling: GoodFree text: Raised rash on my arm which started after 2nd shot. I had a raised area in the same place for 2 days after the 1st shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-21
- 2021-05-06
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Hip surgery, Hospitalisation, Oropharyngeal pain, Rash, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, runny nose, head congestion last week. Got an instant Covid test which was negative. Also separately the rash on my arm came back for 6 weeks following a 5 day hospital stay for hip surgery.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-26
Dose 3 — Moderna
-
2021-11-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Headache, Rhinorrhoea — Feeling: FairFree text: Headache and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Dose 4 — Moderna
- 2022-04-26
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Drug hypersensitivity, Glaucoma — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: New Allergy to methylprednisolone, worsening glaucomaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-05-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
-
2022-09-21
Dose 5 — Moderna
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-30
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-08-26 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-05 | Successful 2021-11-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-04-29 | Successful 2022-05-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 21, dose 2
Symptoms: Raised rash on my arm which started after 2nd shot. I had a raised area in the same place for 2 days after the 1st shot.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, runny nose, head congestion last week. Got an instant Covid test which was negative. Also separately the rash on my arm came back for 6 weeks following a 5 day hospital stay for hip surgery.
Release 11 — 12 months, dose 2
Symptoms: Headache and runny nose
Release 11 — day 21, dose 4
Symptoms: New Allergy to methylprednisolone, worsening glaucoma
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 | Drug hypersensitivity | · | · | ✓ |
| SD | Glaucoma | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hip surgery | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release