YBY-28508-73311

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 804 / CO
Registered: 2021-02-25

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Survey response — day 0, dose 1
MedDRA: Erythema, Flushing — Feeling: Good · Site: Redness

Free text: Flushing/redness in face, neck, chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good

Free text: Woke up at 230am itching all over. No rash, just itching. Took benadryl and went back to sleep. Mild itching in morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Good · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Survey response — day 7, dose 1
MedDRA: Myalgia, Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Yesterday muscle pains in back of both legs and arms and continues today. Fluctuates between mild to moderate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Poor · 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: Weakness and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Muscle or body aches

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Good · Site: Redness · Joint pains, Fatigue or tiredness

Free text: Have developed canker sore inside mouth, bottom lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Good

Free text: Still have some dizziness when getting up.

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: Fatigue, Oral pain — Feeling: Good · Fatigue or tiredness

Free text: Little tired still have sore in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Pruritus, Stomatitis — Feeling: Good

Free text: Itching in arm pit; still have sore in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: More fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-23
Survey response — 12 months, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling on right side of body

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-23	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Flushing/redness in face, neck, chest

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Woke up at 230am itching all over. No rash, just itching. Took benadryl and went back to sleep. Mild itching in morning.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Yesterday muscle pains in back of both legs and arms and continues today. Fluctuates between mild to moderate.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Weakness and dizziness

2021-03-26

Systemic reaction (other): Have developed canker sore inside mouth, bottom lip

2021-03-27

Systemic reaction (other): Still have some dizziness when getting up.

2021-03-28

Systemic reaction (other): Little tired still have sore in mouth

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Itching in arm pit; still have sore in mouth

Release 7 — day 21, dose 2

2021-04-13

Symptoms: More fatigue.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Muscle pain

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Tingling on right side of body

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	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Paraesthesia	·	·	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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