Y7D-10385-60417

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 786 / TX
Registered: 2021-04-06

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Registered dependents

VY8-27954-05422 Child or adolescent in my care · Female · 2021-11-11

Timeline

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

2021-03-02
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Decreased appetite, Diarrhoea, Myalgia — Feeling: Poor · Chills, Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Chills sometimes gets really bad and sometimes less comes and goes diarrea start around noon as well the chills came back, muscle pain is gone.no apetite at all..

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Alopecia, Dyspnoea, Throat tightness — Feeling: Good

Free text: My hair is falling down a lot. I start walking and ae little bit running and when i do the running part i feel the sensation on my throat that need air

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Sensory disturbance — Feeling: Good

Free text: A weird sensation on my triath a luttle paimon my left chess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Burning sensation, Feeling hot, Hypoaesthesia, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Cramps in my legs, feeling burning or heat and kind of numbness

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-10-12
Call successful
Participant prefers to complete VAERS report online
2022-04-06
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Abdominal pain lower, Emergency care, Liver disorder, Muscle spasms, Ovarian cyst, Pain in extremity, Vaginal infection, Vaginal odour — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: I have pain on my left side kind of below my ribs . And also abdominal pain. When i end it up to the ER my legs was in a very sharp pain they give morfine shots. The found now problems liver. Right sys on my ovarious. And cramps on my both legs. · Healthcare visit (other): Infection on my vagina that does not go away. Strong smell.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-04-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-07	Successful 2021-10-12	Participant prefers to complete VAERS report online
2022-04-06	Successful 2022-04-11	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Chills sometimes gets really bad and sometimes less comes and goes diarrea start around noon as well the chills came back, muscle pain is gone.no apetite at all..

Release 8 — day 35, dose 2

2021-05-11

Symptoms: My hair is falling down a lot. I start walking and ae little bit running and when i do the running part i feel the sensation on my throat that need air

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: A weird sensation on my triath a luttle paimon my left chess

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Cramps in my legs, feeling burning or heat and kind of numbness

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: I have pain on my left side kind of below my ribs . And also abdominal pain. When i end it up to the ER my legs was in a very sharp pain they give morfine shots. The found now problems liver. Right sys on my ovarious. And cramps on my both legs. cut off by CDC

Healthcare visit (other): Infection on my vagina that does not go away. Strong smell.

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	Vaginal infection	·	·	✓
HCVO	Vaginal odour	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Alopecia	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Feeling hot	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Liver disorder	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Sensory disturbance	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SD	Unevaluable event	○	○	○
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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