YC4-61153-38734

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 271 / NC
Registered: 2021-02-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Somnolence — Feeling: Fair · Site: Pain · Headache

Free text: Not really fatigued but sleepy. That's highly unusual since I suffer with chronic insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain

Free text: No injection site pain but slight soreness still in muscle in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain

Free text: Still slight muscle soreness about 1/3 way down from top of shoulder. Vaccine shot was near top of shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 14, dose 1
MedDRA: Epistaxis — Feeling: Good

Free text: Slight nose bleed twice. I never have nose bleeds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Survey response — day 0, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair · Headache

Free text: Mild nausea and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Slight fever in my arm. 98.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Diarrhea

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Itching

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Itching

Free text: Arm is still a little warmer than usual at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Dizziness, Impaired driving ability — Feeling: Fair

Free text: Dizziness. This is happening at anytime of the day, even while driving. Going to see my PCP on Wednesday for a regular visit and will discuss with him. Dizzy as I'm typing this information. Didn't have these spells before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Constipation — Feeling: Good

Free text: Onset of constipation after second dose of vaccine. Others I've spoken with are experiencing the same issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Hospitalisation, Neurological symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Overnight hospital stay. Clinicians treated symptoms as TIA. All tests were negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call successful
Participant prefers to complete VAERS report online
2021-12-18
Dose 3 — Moderna
2022-03-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-12-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-02	Successful 2021-09-08	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Not really fatigued but sleepy. That's highly unusual since I suffer with chronic insomnia.

2021-02-04

Systemic reaction (other): No injection site pain but slight soreness still in muscle in arm

2021-02-05

Systemic reaction (other): Still slight muscle soreness about 1/3 way down from top of shoulder. Vaccine shot was near top of shoulder.

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Slight nose bleed twice. I never have nose bleeds.

Release 4 — day 0, dose 2

2021-03-01

Systemic reaction (other): Mild nausea and dizziness

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Slight fever in my arm. 98.8

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Weakness

2021-03-05

Systemic reaction (other): Sore throat

2021-03-07

Systemic reaction (other): Arm is still a little warmer than usual at injection site

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Dizziness. This is happening at anytime of the day, even while driving. Going to see my PCP on Wednesday for a regular visit and will discuss with him. Dizzy as I'm typing this information. Didn't have these spells before the vaccine.

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Onset of constipation after second dose of vaccine. Others I've spoken with are experiencing the same issue.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Overnight hospital stay. Clinicians treated symptoms as TIA. All tests were negative.

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	Constipation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Hospitalisation	✓	·	✓
SD	Impaired driving ability	✓	✓	✓
SD	Neurological symptom	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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