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YZT-19798-67134

5 vaccinations 9 coded responses 53 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-14
    Registered in v-safe
  2. 2021-02-14
    Dose 1 — Moderna
  3. 2021-02-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-14
    Dose 2 — Moderna
  14. 2021-03-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  16. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  18. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-03-21
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-03-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-25
    Survey response — day 42, dose 2
    MedDRA: Condition aggravated, Fatigue, Pre-existing disease, Therapeutic response unexpected — Feeling: Fair
    Free text: More fatigue. Neuropathy in feet got better after the vaccines, but now is a little bit worse than before the shots. Could just be the way it is and not connected to the shots at all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-09-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-13
    Dose 3 — Moderna
    Co-administered: Flu
  30. 2021-10-26
    Survey response — day 7, dose 3
    MedDRA: Chills, Fatigue, Headache, Influenza like illness, Injection site pain, Nausea, Pain, Pyrexia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: I got a moderna booster and a flu shot on October separately. Over the next three days I had site pain, chills, nausea, headache, fever, felt like I had the flu, fatigue and body aches.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-27
    Survey response — day 14, dose 3
    MedDRA: Balance disorder, Dizziness — Feeling: Fair
    Free text: Dizzy spell. Falling over, but didn't go down. Had hard time getting upright.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-17
    Survey response — day 35, dose 3
    MedDRA: Abdominal pain upper, Fatigue — Feeling: Fair
    Free text: Fatigue more often, stomach pains
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-24
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  36. 2022-01-12
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  37. 2022-04-13
    Survey response — 6 months, dose 3
    MedDRA: Medical counselling, Postmenopausal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: After 14 years of being in menopause started having barely visible periods again. · Healthcare visit (other): Phone consultation
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-04-13
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2022-04-20
  40. 2022-07-12
    Dose 4 — Moderna
  41. 2022-07-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  42. 2022-07-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Abdominal pain
    Adult check-in
  43. 2022-07-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: Light headedness
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-07-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  45. 2022-07-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Adult check-in
  46. 2022-07-19
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  47. 2022-07-26
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-08-02
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  49. 2022-08-09
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-08-16
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  51. 2022-08-23
    Survey response — day 42, dose 4
    MedDRA: Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat, headaches
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-20
    Dose 5 — Moderna
  54. 2022-10-31
    Health check-in — day 7, dose 5
    Feeling: Fair · None
    Adult check-in
  55. 2022-11-03
    Health check-in — day 14, dose 5
    Feeling: Poor
    Adult check-in
  56. 2022-11-10
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  57. 2022-11-17
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-11-24
    Survey response — day 35, dose 5
    MedDRA: Back pain, Dizziness, Fall, Nausea, Pyrexia, Sinusitis — Feeling: Fair
    Free text: Sinusitis. Back pain, from a fall. Dizzy. Nauseous. Mild fever.
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-12-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  60. 2023-01-20
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  61. 2023-04-22
    Survey response — 6 months, dose 5
    MedDRA: Neoplasm malignant, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  62. 2023-04-22
    Report sent to call center — 6 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  63. 2023-04-25
  64. 2023-04-25

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Moderna
22021-03-14Moderna
32021-10-13Moderna Flu
42022-07-12Moderna No
52022-10-20Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-13 Unsuccessful
2023-04-22 Unsuccessful

Free text

Release 7 — day 42, dose 2

2021-04-25

Symptoms: More fatigue. Neuropathy in feet got better after the vaccines, but now is a little bit worse than before the shots. Could just be the way it is and not connected to the shots at all.

Release 10 — day 7, dose 3

2021-10-26

Systemic reaction (other): I got a moderna booster and a flu shot on October separately. Over the next three days I had site pain, chills, nausea, headache, fever, felt like I had the flu, fatigue and body aches.

Release 10 — day 14, dose 3

2021-10-27

Symptoms: Dizzy spell. Falling over, but didn't go down. Had hard time getting upright.

Release 10 — day 35, dose 3

2021-11-17

Symptoms: Fatigue more often, stomach pains

Release 11 — 6 months, dose 3

2022-04-13

Symptoms: After 14 years of being in menopause started having barely visible periods again.
Healthcare visit (other): Phone consultation

Release 12 — days 1–6 daily, dose 4

2022-07-16

Systemic reaction (other): Light headedness

Release 12 — day 42, dose 4

2022-08-23

Symptoms: Sore throat, headaches

Release 12 — day 35, dose 5

2022-11-24

Symptoms: Sinusitis. Back pain, from a fall. Dizzy. Nauseous. Mild fever.

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
HCVOMedical counselling · · ✓
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDBack pain · · ✓
SDBalance disorder · · ✓
SDCondition aggravated ✓ ✓ ✓
SDDizziness · · ✓
SDFall · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDNausea · · ✓
SDNeoplasm malignant · · ✓
SDOropharyngeal pain · · ✓
SDPostmenopausal haemorrhage · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDSinusitis · · ✓
SDTherapeutic response unexpected ✓ ✓ ✓
SROChills · · ✓
SRODizziness · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInfluenza like illness · · ✓
SROInjection site pain · · ✓
SRONausea · · ✓
SROPain · · ✓
SROPyrexia · · ✓

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