Y7W-23099-98130

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 708 / LA
Registered: 2021-02-22

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Moderna
2021-02-22
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain, Swelling, Tenderness — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling between chest and neck area, that is painful when touched.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Neck mass — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have the knot that is just between my neck and chest on the left side of my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Nodule — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The knot is still on my left upper side o my body, and my sugar is high which I fail to mention the other days.

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: Nodule, Pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Still have knot and it only hurts a little bit now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 2
MedDRA: Breast mass — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have knot on left side of chest area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 28, dose 2
MedDRA: Myalgia, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My neck and leg muscles are very sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: My legs are feeling week and I am tired more often now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Pain in extremity — 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: Problems with pain in legs.

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
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

1 call case(s)
2021-09-23
Call successful
Does not wish to fill out VAERS report
2022-03-24
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, 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: Sinus issues worsened.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-09-20	Successful 2021-09-23	Does not wish to fill out VAERS report
2022-03-24	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Swelling between chest and neck area, that is painful when touched.

2021-03-24

Systemic reaction (other): Still have the knot that is just between my neck and chest on the left side of my body.

2021-03-25

Systemic reaction (other): The knot is still on my left upper side o my body, and my sugar is high which I fail to mention the other days.

2021-03-28

Systemic reaction (other): Still have knot and it only hurts a little bit now.

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Still have knot on left side of chest area.

Release 7 — day 28, dose 2

2021-04-19

Symptoms: My neck and leg muscles are very sore.

Release 8 — day 35, dose 2

2021-04-26

Symptoms: My legs are feeling week and I am tired more often now.

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Problems with pain in legs.

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: Sinus issues worsened.

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	Condition aggravated	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Breast mass	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Neck mass	✓	·	✓
SRO	Nodule	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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