YC3-21608-83904

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 678 / KS
Registered: 2021-04-14

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

2021-03-16
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymphadenopathy, Muscle spasms, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Since yesterdays check in I also had: Lymph node swelling in armpit, pain in ears and throat when swallowing, and charley horse cramps up and down both thighs and calves (probably due to dehydration yesterday) but tall of these symptoms have resolved as of this time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Fluid retention, Oedema peripheral, Peripheral swelling, Weight increased — Feeling: Good

Free text: Ive had unexplained edema/lower leg swelling/retaining water resulting in 5 lb weight gain for the past week. No changes in diet or activity level. May not be related but wanted to report just in case.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-06
Dose 3 — Moderna
2021-12-06
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Ventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Episode of VTAC

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-29
Call 2 — Could Not Reach Participant
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Call 1 — Left Voicemail
2022-01-12
Survey response — day 35, dose 3
MedDRA: Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Fair

Free text: Runny nose, sneezing and sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 42, dose 3
MedDRA: Dizziness, Ventricular extrasystoles — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increased dizziness and heart pvcs. Not sure if dizziness is attributed to new medicine I started one week ago for pvc control.

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Survey response — 3 months, dose 3
MedDRA: Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizzy spells · Healthcare visit (other): Doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-10
Call 1 — Could Not Reach Participant
2022-03-15
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-14	Moderna
3	2021-12-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-28	Unsuccessful
2022-03-07	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Dehydration

2021-04-16

Systemic reaction (other): Since yesterdays check in I also had: Lymph node swelling in armpit, pain in ears and throat when swallowing, and charley horse cramps up and down both thighs and calves (probably due to dehydration yesterday) but tall of these symptoms have resolved as of this time

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Ive had unexplained edema/lower leg swelling/retaining water resulting in 5 lb weight gain for the past week. No changes in diet or activity level. May not be related but wanted to report just in case.

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Episode of VTAC

Release 10 — day 35, dose 3

2022-01-12

Symptoms: Runny nose, sneezing and sinus congestion

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Increased dizziness and heart pvcs. Not sure if dizziness is attributed to new medicine I started one week ago for pvc control.

Release 11 — 3 months, dose 3

2022-03-07

Symptoms: Dizzy spells

Healthcare visit (other): Doctor office visit

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	Dizziness	·	·	✓
SD	Fluid retention	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Ventricular extrasystoles	·	·	✓
SD	Ventricular tachycardia	·	·	✓
SD	Weight increased	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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