LY4-94967-27759

4 vaccinations 6 coded responses 22 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 224 / VA
Registered: 2021-01-23

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-04-23
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-07-23
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-24
Dose 3 — Moderna
2022-01-22
Survey response — 12 months, dose 1
MedDRA: Asthenia, Dizziness, Headache, Memory impairment, Oropharyngeal pain, Pain, Pyrexia, Sinus disorder, Spinal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Less energy. Dizzy. Forgetting. Fever. Head aches. Sinus issues. Sore throat. Spine and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — day 35, dose 3
MedDRA: Abdominal discomfort, Back pain, Cognitive disorder, Disturbance in attention, Memory impairment, Night sweats — Feeling: Good

Free text: I get night sweats now every night. Stomach is more sensitive. Back hurts more often. Harder to focus. Lost train of thought. Short term memory sometimes.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Back pain, COVID-19, Headache, Muscle spasms, Neck pain, Night sweats — Feeling: Good

Free text: Back neck and shoulder pain with spasms. Head aches. Night sweats. I got covid around January after having had the flu shot and the covid booster.

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-16
Dose 4 — Pfizer-BioNTech
2022-11-25
Survey response — day 7, dose 4
MedDRA: Cough, Dyspnoea, Insomnia, Nasal discharge discolouration, Pyrexia, Respiratory tract congestion, Sputum discoloured, Wheezing — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bad congestion in chest and head. Fevers off and on. Difficulty breathing normal with out coughing. Sputum and nadal discharge yellow green. Wheezing. Sometimes hard to talk without coughing. Intermittent continuous coughing. Difficulty sleeping.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Report sent to call center — day 7, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-28
Call successful
Participant prefers to complete VAERS report online
2022-12-07
Survey response — day 21, dose 4
MedDRA: Asthenia, Cough, Eye discharge, Headache, Insomnia, Productive cough, Respiratory disorder, Respiratory tract congestion, Sputum discoloured — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have all the month of Nov. been congested coughing and head aches, lower energy. Trouble sleeping due to breathing. Coughing up avacado greenish and now yellowish sputum. Eyes get mucousy in the morning.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-08
Call 1 — Left Voicemail
2022-12-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-19
Survey response — 6 months, dose 4
MedDRA: Dyspnoea — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-03-09	Moderna	No
3	2021-12-24	Moderna	No
4	2022-11-16	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 11 — 12 months, dose 1

2022-01-22

Symptoms: Less energy. Dizzy. Forgetting. Fever. Head aches. Sinus issues. Sore throat. Spine and body aches.

Release 11 — day 35, dose 3

2022-01-30

Symptoms: I get night sweats now every night. Stomach is more sensitive. Back hurts more often. Harder to focus. Lost train of thought. Short term memory sometimes.

Release 11 — 3 months, dose 3

2022-03-25

Symptoms: Back neck and shoulder pain with spasms. Head aches. Night sweats. I got covid around January after having had the flu shot and the covid booster.

Release 12 — day 7, dose 4

2022-11-25

Systemic reaction (other): Bad congestion in chest and head. Fevers off and on. Difficulty breathing normal with out coughing. Sputum and nadal discharge yellow green. Wheezing. Sometimes hard to talk without coughing. Intermittent continuous coughing. Difficulty sleeping.

Release 12 — day 21, dose 4

2022-12-07

Symptoms: Have all the month of Nov. been congested coughing and head aches, lower energy. Trouble sleeping due to breathing. Coughing up avacado greenish and now yellowish sputum. Eyes get mucousy in the morning.

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	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eye discharge	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Memory impairment	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Neck pain	·	·	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Spinal pain	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Nasal discharge discolouration	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sputum discoloured	·	·	✓
SRO	Wheezing	·	·	✓

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