Y2P-18700-21034

3 vaccinations 14 coded responses 33 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 129 / NY
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Headache, Joint pains

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site rash, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities

Free text: Circle red rash at the injection site on the 8th day after the vaccine. Joint aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Nausea

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen and pain in armpit of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit pain and swollen on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit pain and swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on my leg, shoulder and back

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Anxiety, Dyspnoea, Insomnia, Office visit, Palpitations — 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: Symptoms: Racing heart beat in the middle of the night, inability to sleep thru the night, getting 5-6 hours of sleep. anxiety with breathing issues like asthma where I use an inhaler · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · no matching call case
2022-01-15
Dose 3 — Moderna
2022-01-29
Survey response — day 14, dose 3
MedDRA: Fatigue, Injection site pruritus, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Exhaustion, low fever, itching near injection,

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — day 21, dose 3
MedDRA: Back pain, Fatigue, Feeling of body temperature change — Feeling: Fair · Be unable to work or attend school

Free text: Tired, low back pain, hot and cold

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-19
Survey response — day 35, dose 3
MedDRA: Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold sensitivity in toes and finger tips

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Pruritus, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache. Itchy skin tired a good bit blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — 3 months, dose 3
MedDRA: Hypoaesthesia, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Numbness in extremities on and off and a couple rashes

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Survey response — 6 months, dose 3
MedDRA: Fatigue, Insomnia, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blurry vision, tired, unable to sleep

MedDRA releases: 2024-11 · check-in free text available
2023-01-15
Survey response — 12 months, dose 3
MedDRA: Fatigue, Productive cough, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2022-01-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome

1 report(s) with no call case — see the timeline.

Free text

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Circle red rash at the injection site on the 8th day after the vaccine. Joint aches

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Swollen and pain in armpit of injection arm

2021-04-24

Systemic reaction (other): Armpit pain and swollen on injection side

2021-04-25

Systemic reaction (other): Armpit pain and swelling

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Swollen armpit

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Rash on my leg, shoulder and back

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Racing heart beat in the middle of the night, inability to sleep thru the night, getting 5-6 hours of sleep. anxiety with breathing issues like asthma where I use an inhaler

Healthcare visit (other): Doctor visit

Release 11 — day 14, dose 3

2022-01-29

Symptoms: Exhaustion, low fever, itching near injection,

Release 11 — day 21, dose 3

2022-02-05

Symptoms: Tired, low back pain, hot and cold

Release 11 — day 35, dose 3

2022-02-19

Symptoms: Cold sensitivity in toes and finger tips

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Headache. Itchy skin tired a good bit blurry vision

Release 11 — 3 months, dose 3

2022-04-18

Symptoms: Numbness in extremities on and off and a couple rashes

Release 12 — 6 months, dose 3

2022-07-16

Symptoms: Blurry vision, tired, unable to sleep

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	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling of body temperature change	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Palpitations	·	·	✓
SD	Peripheral coldness	·	·	✓
SD	Productive cough	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	○
SRO	Oedema peripheral	✓	✓	✓

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