2YM-40182-52432

5 vaccinations 13 coded responses 30 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 782 / TX
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The vaccine site does not hurt but it is lightly painful when I touch it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: The headache and fatigue I think is from my health.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fever · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yes. I take Eliquis, a blood thinner. Will this affect me when I take the second shot? I also have heart, lung etc problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Arm is swollen, sore and hurts when lifted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Yesterday and today, I felt sick but I do not know if it is sinuses, allergies or other.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I do not think they are due to vaccine. Stomach problems and weight loss.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 2 — Left Voicemail
2021-12-05
Dose 3 — Moderna
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-07-12
Survey response — 3 months, dose 4
MedDRA: COVID-19, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I got Covid from my brother who got it from a coworker at the base. · Healthcare visit (other): Went to Primary doctor's iffice

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call successful
Not applicable - Accidental Reporting
2022-07-13
Call successful
Not applicable - Accidental Reporting
2022-07-14
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-11
Dose 5 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-12-05	Moderna	No
4	2022-04-12	Moderna	No
5	2022-10-11	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): The vaccine site does not hurt but it is lightly painful when I touch it.

2021-03-12

Systemic reaction (other): The headache and fatigue I think is from my health.

2021-03-13

Systemic reaction (other): No

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Yes. I take Eliquis, a blood thinner. Will this affect me when I take the second shot? I also have heart, lung etc problems.

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): None

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Arm is swollen, sore and hurts when lifted.

2021-04-09

Systemic reaction (other): No

2021-04-13

Systemic reaction (other): Yesterday and today, I felt sick but I do not know if it is sinuses, allergies or other.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): No

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: I do not think they are due to vaccine. Stomach problems and weight loss.

Release 12 — 3 months, dose 4

2022-07-12

Symptoms: I got Covid from my brother who got it from a coworker at the base.

Healthcare visit (other): Went to Primary doctor's iffice

Release 12 — days 1–6 daily, dose 5

2022-07-14

Systemic reaction (other): No

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	COVID-19	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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