Y7U-13383-89142

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 604 / IL
Registered: 2021-01-30

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

2021-01-28
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Immediate post-injection reaction, Paraesthesia oral, Throat irritation, Tongue discomfort — Feeling: Fair · Site: Pain · Joint pains

Free text: After shot felt a tingly tongue and elbow hurt. Tongue felt like you put something hot on it and burnt it. Today I went to eat cauliflower and immediately felt itchy throat and ears and strange tongue feeling returned.

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

Free text: Still tingling in my tongue, maybe a little bit less.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Paraesthesia oral — Feeling: Fair · Site: Redness

Free text: Still tingling in my tongue, plus redness wher the shot was given the size of quarter

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

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Nausea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Nausea

Free text: Tingling all over the body at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Nausea

Adult check-in
2021-03-04
Survey response — day 7, dose 2
MedDRA: Adverse reaction, Office visit — Feeling: Good · Site: Redness, Itching · Abdominal pain · Get care from a doctor or other healthcare professional

Free text: On Tuesday went to see my doctor to discuss how the vaccine was affecting my body, sorry about the late report with my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have new thing an uti been to the gynecologist right now taking meds for 7 days. · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — day 28, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still battling UTI, went for another urine test waiting for results. · Healthcare visit (other): Dr office for the urine test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 35, dose 2
MedDRA: Nausea, Unevaluable event, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The treatment for the UTI didnt clear up my condition , was told to see a urologist. Still suffering from nausea. · Healthcare visit (other): Phone call to see a new doc for my problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 42, dose 2
MedDRA: Chest pain, Hypertension, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: High blood pressure, chest pains, and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Digestive problems · Healthcare visit (other): Outpatient testing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2022-03-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-04	Unsuccessful
2021-03-19	Unsuccessful
2021-03-25	Unsuccessful
2021-04-01	Unsuccessful
2021-08-27	Unsuccessful

1 report(s) with no call case — see the timeline.

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): After shot felt a tingly tongue and elbow hurt. Tongue felt like you put something hot on it and burnt it. Today I went to eat cauliflower and immediately felt itchy throat and ears and strange tongue feeling returned.

2021-02-02

Systemic reaction (other): Still tingling in my tongue, maybe a little bit less.

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Still tingling in my tongue, plus redness wher the shot was given the size of quarter

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Tingling all over the body at times.

Release 5 — day 7, dose 2

2021-03-04

Healthcare visit (other): On Tuesday went to see my doctor to discuss how the vaccine was affecting my body, sorry about the late report with my doctor.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Have new thing an uti been to the gynecologist right now taking meds for 7 days.

Healthcare visit (other): Dr office visit

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Still battling UTI, went for another urine test waiting for results.

Healthcare visit (other): Dr office for the urine test

Release 6 — day 35, dose 2

2021-04-01

Symptoms: The treatment for the UTI didnt clear up my condition , was told to see a urologist. Still suffering from nausea.

Healthcare visit (other): Phone call to see a new doc for my problem.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: High blood pressure, chest pains, and nausea.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Digestive problems

Healthcare visit (other): Outpatient testing

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	Adverse reaction	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Hypertension	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓

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