YBX-26084-02859

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 275 / NC
Registered: 2021-03-05

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 21, dose 1
MedDRA: No adverse event, Surgery — 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: Symptoms: Sinus surgery on Thursday the 26th left me with a difficult recovery and lots of pain, but not complications (and nothing from the vaccine 3 weeks ago) · Healthcare visit (other): Surgery in outpatient hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 21, dose 1
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)
2021-04-06
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · 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
Survey response — day 21, dose 2
MedDRA: Ear pain, Nasal congestion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Stuffiness, ear pain · Healthcare visit (other): Doctors visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 28, dose 2
MedDRA: Hypersensitivity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Allergies (seasonal)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection · Healthcare visit (other): Regalar doc (ENT)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 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

1 call case(s)
2021-07-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Amenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Irregular period (mine is usually pretty regular) with 3 weeks of bleeding and then no period at all. Back to normal now. Also worsened congestion and allergies. · Healthcare visit (other): Regular doctors visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Neck pain, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinus infection, sore neck

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-06	Moderna
3	2021-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-28	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-27	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-04	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-06	Successful 2021-07-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-05	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Chest pain

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Chest pain

Release 6 — day 21, dose 1

2021-03-28

Symptoms: Sinus surgery on Thursday the 26th left me with a difficult recovery and lots of pain, but not complications (and nothing from the vaccine 3 weeks ago)

Healthcare visit (other): Surgery in outpatient hospital

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Stuffiness, ear pain

Healthcare visit (other): Doctors visit

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Allergies (seasonal)

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Sinus infection

Healthcare visit (other): Regalar doc (ENT)

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Irregular period (mine is usually pretty regular) with 3 weeks of bleeding and then no period at all. Back to normal now. Also worsened congestion and allergies.

Healthcare visit (other): Regular doctors visit

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Sinus infection, sore neck

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	✓	✓	✓
HCVO	Surgery	✓	✓	✓
SD	Amenorrhoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	No adverse event	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Chest pain	✓	✓	✓

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