YAE-94833-22212

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 906 / CA
Registered: 2021-01-27

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Have episodes where I forget what Im doing or what I was going to say dog brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Thinking abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Fog brain forgetful and at times loose train of thought.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Insomnia, Pollakiuria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent urination, sob,insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Peripheral coldness, Sensitive skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Feet feel super sensitive and freezing cold, tingling on feet and hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Glossodynia, Oral pain, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Mouth feels sore, tongue sensitive and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Sensitive skin — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work

Free text: Sensitive feet, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening fatigue and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Anxiety, Gastrooesophageal reflux disease, Headache, Insomnia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Insomnia,headache,bloating and acid reflux, anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 35, dose 2
MedDRA: Arthralgia, Feeling abnormal, Insomnia, Peripheral coldness, Sensitive skin — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain, cold feet,feet sensitivity, insomnia,fog brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Burning sensation, Fatigue, Insomnia, Peripheral coldness, Sensitisation, Tachycardia — Feeling: Poor · 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

Free text: Tachycardia, cold feet burning and super sensitive feet, fatigue, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
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)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-22
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I got Covid 12/25/21

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-02	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-22	Successful 2022-02-23	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Have episodes where I forget what Im doing or what I was going to say dog brain

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Fog brain forgetful and at times loose train of thought.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Frequent urination, sob,insomnia

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Feet feel super sensitive and freezing cold, tingling on feet and hands.

2021-02-23

Systemic reaction (other): Mouth feels sore, tongue sensitive and sore throat

2021-02-24

Systemic reaction (other): Sensitive feet, insomnia

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Worsening fatigue and joint pain

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Insomnia,headache,bloating and acid reflux, anxiety

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Joint pain, cold feet,feet sensitivity, insomnia,fog brain

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Tachycardia, cold feet burning and super sensitive feet, fatigue, insomnia

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: I got Covid 12/25/21

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	Abdominal distension	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pollakiuria	✓	✓	✓
SD	Sensitisation	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓

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