EJY-17181-74743

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 009 / PR
Registered: 2021-01-15

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

2021-01-11
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Transient ischaemic attack — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Had a TIA (transient ischemic attack)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — day 21, dose 2
MedDRA: Transient ischaemic attack — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: T. I. A.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — day 28, dose 2
MedDRA: Transient ischaemic attack — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: TIA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 35, dose 2
MedDRA: Neurological symptom — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Post TIA symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 42, dose 2
MedDRA: Asthenia, Disturbance in attention, Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, weakness, trouble concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Call successful
Participant prefers to complete VAERS report online
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Epstein-Barr virus infection, Fatigue, Optic neuritis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Optic neuritis, Epstein-Barr virus, Chronic fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Had a TIA (transient ischemic attack)

Release 4 — day 21, dose 2

2021-03-01

Symptoms: T. I. A.

Release 5 — day 28, dose 2

2021-03-08

Symptoms: TIA

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Post TIA symptoms

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Dizziness, weakness, trouble concentrating

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Tiredness

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: Optic neuritis, Epstein-Barr virus, Chronic fatigue

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	Asthenia	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epstein-Barr virus infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SD	Optic neuritis	·	·	✓
SD	Transient ischaemic attack	✓	✓	✓

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