Y4U-10223-37519

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 800 / CO
Registered: 2021-01-13

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

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Paraesthesia — Feeling: Poor · Site: Pain · 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: Pins and needles in my whole body in am after I woke up with severe cold sweating. 2 episodes each took 10 minutes to go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Took 1000mg Tylenol the second night that helped w my sore arm and body pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Chills

Free text: Having a feeling in back of my throat like when you're about to get sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: I woke up w a pain in the right side of my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: I missed my monthly period after both shots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-09
Survey response — day 28, dose 2
MedDRA: Epistaxis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Have developed severe nose bleeding. 5 days now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 35, dose 2
MedDRA: Epistaxis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily nose bleeding that goes on up to 30 minutes each time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 42, dose 2
MedDRA: Epistaxis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nosebleed - a few wks now - will see a doctor tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-12
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Frequent coughs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 1 — Left Voicemail
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-08-10	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Pins and needles in my whole body in am after I woke up with severe cold sweating. 2 episodes each took 10 minutes to go away

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Took 1000mg Tylenol the second night that helped w my sore arm and body pain

2021-01-17

Systemic reaction (other): Having a feeling in back of my throat like when you're about to get sick

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): I woke up w a pain in the right side of my throat.

Release 4 — day 14, dose 2

2021-02-23

Symptoms: I missed my monthly period after both shots.

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Have developed severe nose bleeding. 5 days now

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Daily nose bleeding that goes on up to 30 minutes each time

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Nosebleed - a few wks now - will see a doctor tomorrow

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Frequent coughs

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	Cough	✓	·	✓
SD	Epistaxis	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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