Y5J-12722-45723

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 762 / TX
Registered: 2020-12-23

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia, Pain in extremity, Pyrexia — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Wednesday and thursday last week i had a fever two nights in a row and was asleep almost all day until friday evening. I also was unable to sleep on the arm i got the shot in it hurt so bad, but i didnt revceive a text from vsafe to report it until yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-30
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion, Rhinorrhoea, Secretion discharge — Feeling: Fair · Fatigue or tiredness

Free text: Congestion, excess mucus prodection, runny nose for the past week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-01-23
Survey response — day 0, dose 2
MedDRA: Disturbance in attention, Dizziness, Feeling jittery — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Felt lightheaded 15min after shot was administered. Possible counteraction with asthma medication causing unusually prolonged jitters. Hard time focusing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Dizziness, Hypersensitivity, Injection site pain, Insomnia, Nausea, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: The pain at the injection site is most severe. I took ibuprofen which helped for a few hours, then i felt lightheaded and nauseous again. I have a lot of mucus production kind of like an allergy like reaction to the vaccine so i also took benedryl at night, it hasnt helped much. I can barely sleep from the pain in my arm and the constant feeling of chills and fever. Its worse when i sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Malaise, Nausea, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Waves of nausea and overall unwellness after trying to be somewhat active for longer than 30min. Even just sitting up for class and i had to lay back down. Moderate dehydration from histimine response, fell asleep and woke up with severe headache after 800mg of ibuprofen; i took single dose of excedrin to get rid of headache but nausea persists and i cant keep my eyes focused without feeling somewhat weary/lightheaded and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Arm is still mildly sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Sharp and randomly located pains around the lower abdominal region. Idk if its related tho

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: I just woke up rn so i dont currently notice any symptoms atm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 14, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine all week but it could just be hormonal idk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 28, dose 2
MedDRA: Headache, Hypothermia, Pre-existing disease — Feeling: Good

Free text: Headache for a few days but possibly it was caused from mild hypothermia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Oropharyngeal pain, Self-medication, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a severely painful sore throat during Christmas week. I couldn't even sleep it was so uncomfortable and I was drinking almost 4L of water a day to soothe it. Ibuprofen/painkillers didnt help but cough medicine somewhat helped.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-27	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Wednesday and thursday last week i had a fever two nights in a row and was asleep almost all day until friday evening. I also was unable to sleep on the arm i got the shot in it hurt so bad, but i didnt revceive a text from vsafe to report it until yesterday

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Congestion, excess mucus prodection, runny nose for the past week

Release 2 — day 0, dose 2

2021-01-23

Systemic reaction (other): Felt lightheaded 15min after shot was administered. Possible counteraction with asthma medication causing unusually prolonged jitters. Hard time focusing.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): The pain at the injection site is most severe. I took ibuprofen which helped for a few hours, then i felt lightheaded and nauseous again. I have a lot of mucus production kind of like an allergy like reaction to the vaccine so i also took benedryl at night, it hasnt helped much. I can barely sleep from the pain in my arm and the constant feeling of chills and fever. Its worse when i sleep

2021-01-25

Systemic reaction (other): Waves of nausea and overall unwellness after trying to be somewhat active for longer than 30min. Even just sitting up for class and i had to lay back down. Moderate dehydration from histimine response, fell asleep and woke up with severe headache after 800mg of ibuprofen; i took single dose of excedrin to get rid of headache but nausea persists and i cant keep my eyes focused without feeling somewhat weary/lightheaded and tired

2021-01-26

Systemic reaction (other): Arm is still mildly sore

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Sharp and randomly located pains around the lower abdominal region. Idk if its related tho

Release 3 — day 7, dose 2

2021-01-30

Systemic reaction (other): I just woke up rn so i dont currently notice any symptoms atm

Release 3 — day 14, dose 2

2021-02-06

Symptoms: Migraine all week but it could just be hormonal idk

Release 4 — day 28, dose 2

2021-02-20

Symptoms: Headache for a few days but possibly it was caused from mild hypothermia

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: I had a severely painful sore throat during Christmas week. I couldn't even sleep it was so uncomfortable and I was drinking almost 4L of water a day to soothe it. Ibuprofen/painkillers didnt help but cough medicine somewhat helped.

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	Headache	✓	✓	✓
SD	Hypothermia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	○	○	○
SRO	Vision blurred	✓	✓	✓

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