YBD-30391-61151

3 vaccinations 19 coded responses 31 check-ins 19 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 900 / CA
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Alopecia — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen painful lymph nodes under both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Survey response — day 14, dose 2
MedDRA: Amnesia, Night sweats — Feeling: Good

Free text: Night sweats and memory loss.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Fatigue and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 28, dose 2
MedDRA: Dysgeusia — Feeling: Fair

Free text: Metallic taste in mouth after eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 2
MedDRA: Chest pain, Chills, Increased upper airway secretion, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school

Free text: Chills, mucus in throat, chest pain, seems like head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 42, dose 2
MedDRA: Chills, Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: Head cold, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 3 months, dose 2
MedDRA: Fatigue, Menstruation delayed, Muscle spasms, Thyroid mass — Feeling: Fair

Free text: My menstrual cycle is always late now and in addition to the thyroid nodules, I have been having ear muscle spasms. Im also always tired.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Large growth in left armpit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-19
Call 2 — Left Voicemail
2021-11-21
Dose 3 — Moderna
Co-administered: Flu
2021-11-21
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Joint stiffness, Skin tightness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Tight feeling in wrist and hand of side I got vaccines.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Odynophagia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: Lymph nodes hurt especially when I swallow

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Rash — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: The site where I was first vaccinated has lit up bright red and has a rash about 3" circumference

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site rash, Nasopharyngitis — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Head cold and rash at the site where my first vaccine was taken.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-05
Survey response — day 14, dose 3
MedDRA: Office visit, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a series of heart palpitations the week after my booster but didn't think to mention it since I used to get palpitations. · Healthcare visit (other): Cardiologist visit, EKG and heart monitor for 48 hrs

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-07
Call 2 — Left Voicemail
2021-12-14
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — day 35, dose 3
MedDRA: Hot flush, Hyperhidrosis, Nasal congestion, Nausea — Feeling: Fair

Free text: Stuffy nose, nausea and hot flashes/sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Felt like I got food poisoning and have had an upset stomach for several days now. Have been very tired since then.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Brain fog, Confusional state, Cyst, Hot flush, Night sweats — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Confusion, cysts and brain fog. And a couple months of intense hot flashes and heavy night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-11-21
Survey response — 12 months, dose 3
MedDRA: Amenorrhoea, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Daily headaches and haven't menstruated since the booster.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-11-21	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-11-18	Unsuccessful
2021-12-05	Unsuccessful
2022-05-22	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Hair loss

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Swollen painful lymph nodes under both ears

Release 8 — day 14, dose 2

2021-06-03

Symptoms: Night sweats and memory loss.

Release 9 — day 21, dose 2

2021-06-10

Symptoms: Fatigue and headache.

Release 9 — day 28, dose 2

2021-06-17

Symptoms: Metallic taste in mouth after eating.

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Chills, mucus in throat, chest pain, seems like head cold

Release 9 — day 42, dose 2

2021-07-01

Symptoms: Head cold, chills

Release 9 — 3 months, dose 2

2021-08-19

Symptoms: My menstrual cycle is always late now and in addition to the thyroid nodules, I have been having ear muscle spasms. Im also always tired.

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: Large growth in left armpit.

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Tight feeling in wrist and hand of side I got vaccines.

2021-11-23

Systemic reaction (other): Lymph nodes hurt especially when I swallow

2021-11-24

Systemic reaction (other): The site where I was first vaccinated has lit up bright red and has a rash about 3" circumference

2021-11-25

Systemic reaction (other): Head cold and rash at the site where my first vaccine was taken.

2021-11-27

Systemic reaction (other): Sore lymph nodes

Release 10 — day 14, dose 3

2021-12-05

Symptoms: I had a series of heart palpitations the week after my booster but didn't think to mention it since I used to get palpitations.

Healthcare visit (other): Cardiologist visit, EKG and heart monitor for 48 hrs

Release 10 — day 35, dose 3

2021-12-26

Symptoms: Stuffy nose, nausea and hot flashes/sweats.

Release 10 — day 42, dose 3

2022-01-02

Symptoms: Felt like I got food poisoning and have had an upset stomach for several days now. Have been very tired since then.

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Confusion, cysts and brain fog. And a couple months of intense hot flashes and heavy night sweats.

Release 12 — 12 months, dose 3

2022-11-21

Symptoms: Daily headaches and haven't menstruated since the booster.

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	Office visit	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Amenorrhoea	·	·	✓
SD	Amnesia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Confusional state	·	·	✓
SD	Cyst	·	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Menstruation delayed	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neoplasm	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Thyroid mass	✓	·	✓
SRO	Alopecia	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Injection site rash	·	·	✓
SRO	Joint stiffness	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Odynophagia	·	·	✓
SRO	Rash	·	·	✓
SRO	Skin tightness	·	·	✓

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