Y2C-19053-67924

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 972 / OR
Registered: 2021-03-20

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

2021-03-18
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Flank pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe flank pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid heart rate with movement, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: POTS , fatigue. Long covid patient 1 year out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Brain fog and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My pulse is running 90-100 higher if I move around

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Higher heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Higher than normal pulse rate. Increases with minor activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Heart rate increased, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Higher pulse with movement Stomach very upsetSore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Pain, Peripheral swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swollen left leg and foot. Pain · Healthcare visit (other): Next weekappointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Fatigue, Hypersomnia, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just my spine hurts all the time. Cannot drink alcohol or take pain medicine. I get tired and need to sleep 12-15 hours

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-20	Unsuccessful
2021-07-15	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Severe flank pain

2021-03-22

Systemic reaction (other): Rapid heart rate with movement, dizziness

2021-03-23

Systemic reaction (other): POTS , fatigue. Long covid patient 1 year out

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Brain fog and fatigue

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): My pulse is running 90-100 higher if I move around

2021-04-21

Systemic reaction (other): Higher heart rate

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Higher than normal pulse rate. Increases with minor activity

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Higher pulse with movement Stomach very upsetSore throat

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Swollen left leg and foot. Pain

Healthcare visit (other): Next weekappointment

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Just my spine hurts all the time. Cannot drink alcohol or take pain medicine. I get tired and need to sleep 12-15 hours

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	Unevaluable event	✓	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Spinal pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flank pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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