Y7B-29565-59036

4 vaccinations 19 coded responses 46 check-ins 19 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: itching - took benadryl the night before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 14, dose 1
MedDRA: Arthralgia, Condition aggravated, Headache, Insomnia, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Itching, rash, headache, insomnia, joint pain, body ache These symptoms are also typical of my auto immune flares so it's hard to tell if they are related to the vaccine, the vaccine is making them worse than usual, or if it's unrelated entirely

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 1
MedDRA: Arthralgia, Autoimmune disorder, Burning sensation, Fatigue, Headache, Insomnia, Lymph node pain, Musculoskeletal stiffness, Neck pain, Neuralgia, Paraesthesia, Pre-existing disease, Pruritus, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My normal auto immune flair was worseSymptoms included:HeadacheFatigue Joint painfinger tip burning heatneurological pain and tingling Insomnia ibsneck and back stiffness itchingmild fever 99.4lymph node soreness and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Survey response — day 0, dose 2
MedDRA: Visual impairment — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: very slight change in vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Just want to say slight vision issue has returned to normal and did yesterday a few hours after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Heart rate increased — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Yesterday i had shortness of breath and an elevated resting heart rate that has since come down today and while I slept.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): mild loss of appetite and interest in food · Healthcare visit (other): Previous for the side effects of the 1st vaccine and the heart rate a few days ago I did consult my dr who said she thought everything was okay and to proceed with the second shot and not be alarmed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness

Free text: Itching - slight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and ear ache probably a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Constipation, Flatulence — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: bloating gas constipation

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Arthralgia, Back pain, Dyspepsia, Neck pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: bloating heartburn -- lots of shoulder neck and back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Poor · Chills, Nausea, Abdominal pain

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-20
Call 1 — Left Voicemail
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Back pain, Dysgeusia, Musculoskeletal pain, Myalgia, Neck pain, Pain, Skin tightness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: tightness left side of body, metallic taste in mouth, muscle soreness/body ache, neck and back pain, butt pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-09-08
Dose 4 — Moderna
2022-09-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-12
Survey response — days 1–6 daily, dose 4
MedDRA: Flatulence, Insomnia, Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: swollen lymph nodes - sore throat- abdominal probably gas pain- running stuffy nose- insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Survey response — day 7, dose 4
MedDRA: Arthralgia, Muscular weakness, Vaccine positive rechallenge — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right hand weakness and joint pain after the first booster which is worse with the second

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-09-29
Survey response — day 21, dose 4
MedDRA: Arthralgia, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and body / joint ache

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — day 28, dose 4
MedDRA: Abdominal distension, Arthralgia, Dyspepsia, Fatigue, Flatulence, Headache, Myalgia, Sleep disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: headaches, gas, sleep issues, heartburn, fatigue, joint pain, muscle pain, and bloating for longer durations than expected

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-13	Moderna
3	2021-11-05	Moderna	No
4	2022-09-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Unsuccessful
2022-05-06	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-12

Systemic reaction (other): Itching

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): itching

2021-02-17

Systemic reaction (other): itching - took benadryl the night before

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): itching

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Itching, rash, headache, insomnia, joint pain, body ache These symptoms are also typical of my auto immune flares so it's hard to tell if they are related to the vaccine, the vaccine is making them worse than usual, or if it's unrelated entirely

Release 5 — day 21, dose 1

2021-03-05

Symptoms: My normal auto immune flair was worseSymptoms included:HeadacheFatigue Joint painfinger tip burning heatneurological pain and tingling Insomnia ibsneck and back stiffness itchingmild fever 99.4lymph node soreness and itching

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): very slight change in vision

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Just want to say slight vision issue has returned to normal and did yesterday a few hours after the shot

2021-03-15

Systemic reaction (other): Yesterday i had shortness of breath and an elevated resting heart rate that has since come down today and while I slept.

2021-03-16

Systemic reaction (other): mild loss of appetite and interest in food

Healthcare visit (other): Previous for the side effects of the 1st vaccine and the heart rate a few days ago I did consult my dr who said she thought everything was okay and to proceed with the second shot and not be alarmed

2021-03-19

Systemic reaction (other): Itching - slight

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Sore throat and ear ache probably a cold

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): bloating gas constipation

2021-11-09

Systemic reaction (other): bloating heartburn -- lots of shoulder neck and back pain

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: tightness left side of body, metallic taste in mouth, muscle soreness/body ache, neck and back pain, butt pain

Release 12 — days 1–6 daily, dose 4

2022-09-12

Systemic reaction (other): swollen lymph nodes - sore throat- abdominal probably gas pain- running stuffy nose- insomnia

Release 12 — day 7, dose 4

2022-09-17

Systemic reaction (other): Right hand weakness and joint pain after the first booster which is worse with the second

Release 12 — day 21, dose 4

2022-09-29

Symptoms: Fatigue and body / joint ache

Release 12 — day 28, dose 4

2022-10-06

Symptoms: headaches, gas, sleep issues, heartburn, fatigue, joint pain, muscle pain, and bloating for longer durations than expected

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	Unevaluable event	✓	✓	✓
SD	Abdominal distension	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Autoimmune disorder	✓	✓	✓
SD	Back pain	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Musculoskeletal pain	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin tightness	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Constipation	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Flatulence	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓
SRO	Visual impairment	✓	✓	✓

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