Y5S-32222-31492

3 vaccinations 10 coded responses 34 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 846 / UT
Registered: 2021-03-09

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

2021-02-26
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen glands in back of neck and in my armpit on the same side I got vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of taste/smell of most things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches

Free text: I can now taste & smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Muscle or body aches

Free text: If the vaccine does not contain the live covid virus why did I lose. Taste and smell for 48 hours??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Fever · Chills, Nausea

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Achey shoulders and upper back. Really sore neck. Keep getting lumps that have to be messaged out. It all started after I got my first vaccine and seems to be getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection and on antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-28
Call 1 — Left Voicemail
2021-11-02
Dose 3 — Moderna
2021-11-02
Survey response — day 0, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Survey response — 12 months, dose 3
MedDRA: Ear infection, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Double ear infection needed antibiotics. Sinus infection needed antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-11-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-07	Successful 2022-11-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-24	Successful 2022-11-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-02	Successful 2022-11-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Swollen glands in back of neck and in my armpit on the same side I got vaccine.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Nope

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Loss of taste/smell of most things

2021-03-28

Systemic reaction (other): I can now taste & smell

2021-03-29

Systemic reaction (other): If the vaccine does not contain the live covid virus why did I lose. Taste and smell for 48 hours??

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Achey shoulders and upper back. Really sore neck. Keep getting lumps that have to be messaged out. It all started after I got my first vaccine and seems to be getting worse

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Sinus infection and on antibiotics

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: High blood pressure

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): Stiff neck

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: Double ear infection needed antibiotics. Sinus infection needed antibiotics.

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Hypertension	·	·	✓
SD	Rash	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	No adverse event	✓	✓	✓

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