YZS-69238-11327
4 vaccinations
9 coded responses
45 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 453 / OH
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
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2021-02-13
Survey response — day 0, dose 1MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I was already tired before the shot. I am an active cancer patient.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
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2021-03-13
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-16
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Bright red warm patches on the upper arm that received the injection. Not at the exact injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Large red, warm spot on the arm that got the injection, lower than the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 7, dose 2MedDRA: Immunisation reaction — Feeling: GoodFree text: COVID armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-17
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: FairFree text: Sinus drainage and mild sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
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2021-06-12
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Cold or allergy symptoms. Head and chest congestion.Low grade fever.Cough. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-07
Dose 3 — Moderna
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2021-09-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-09-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-10
- 2021-09-11
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-21
- 2021-09-28
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2021-10-05
Survey response — day 28, dose 3MedDRA: Fatigue, Feeling cold, Headache, Pre-existing disease, Pyrexia, Respiration abnormal — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just for one day I had a bad headache, low fever, couldn't get warm, a little change in breathing (I only have one lung, so I have breathing issues anyway), fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-19
- 2021-12-07
- 2022-03-10
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2022-09-08
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had COVID in Late June/early July.MedDRA releases: 2024-11 · check-in free text available
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2022-09-08
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-09
-
2022-09-23
Dose 4 — Moderna
- 2022-10-12
- 2022-10-14
- 2022-10-21
- 2022-10-28
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2022-11-04
Survey response — day 42, dose 4MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: FairFree text: A little sinus drainage and occasional cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-09-07 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-08 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I was already tired before the shot. I am an active cancer patient.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Bright red warm patches on the upper arm that received the injection. Not at the exact injection site.
Systemic reaction (other): Large red, warm spot on the arm that got the injection, lower than the injection site.
Release 6 — day 7, dose 2
Systemic reaction (other): COVID arm
Release 7 — day 35, dose 2
Symptoms: Sinus drainage and mild sore throat.
Release 9 — 3 months, dose 2
Symptoms: Cold or allergy symptoms. Head and chest congestion.Low grade fever.Cough. Fatigue.
Release 10 — day 28, dose 3
Symptoms: Just for one day I had a bad headache, low fever, couldn't get warm, a little change in breathing (I only have one lung, so I have breathing issues anyway), fatigue.
Release 12 — 12 months, dose 3
Symptoms: I had COVID in Late June/early July.
Release 12 — day 42, dose 4
Symptoms: A little sinus drainage and occasional cough.
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiration abnormal | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release