Y6Y-26494-33048

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 952 / CA
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · 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

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · 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

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lots of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Loose of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Loose of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Survey response — day 21, dose 1
MedDRA: Misophonia, Reaction to previous exposure to any vaccine, SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe misophonia. Not sure If it has to do with injections reaction but i started after my 2 positive COVID but it was lightly n after the injection is extremely bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 35, dose 2
MedDRA: Ageusia, Depression, Disturbance in attention, Fatigue, Headache, Misophonia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, lost appetite no taste on food, exhausted, depressed, misophonia. Lose of Concentration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Call 1 — Left Voicemail
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Anxiety, Dyspnoea, Fatigue, Headache, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath,headaches, exhausted, nausea body aching,anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Fatigue, Feeling abnormal, Headache, Misophonia, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches tiredness body aches fuzzy thinking got misophonia and immune system weak I get sick to easy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Decreased appetite, Dyspnoea, Nausea — Feeling: Poor

Free text: Nausea lose of appetite breathing issues

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-22	Unsuccessful
2021-02-11	Unsuccessful
2021-08-19	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Lots of appetite

2021-01-27

Systemic reaction (other): Loose of appetite

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Loose of appetite

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Severe misophonia. Not sure If it has to do with injections reaction but i started after my 2 positive COVID but it was lightly n after the injection is extremely bad

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Headache, lost appetite no taste on food, exhausted, depressed, misophonia. Lose of Concentration

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Shortness of breath,headaches, exhausted, nausea body aching,anxiety

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Headaches tiredness body aches fuzzy thinking got misophonia and immune system weak I get sick to easy

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Nausea lose of appetite breathing issues

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	Ageusia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Depression	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	·	✓
SD	Headache	✓	✓	✓
SD	Misophonia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Increased appetite	✓	✓	✓

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