YCB-27449-25159

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 328 / FL
Registered: 2021-01-14

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

Timeline

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

2021-01-11
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Joint range of motion decreased, Musculoskeletal pain, Neck pain, Self-medication — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck on rt side, rt shoulder, and rt shoulder blade were killing me today. I had increased area that needed heating. Ive had two sets of Tylenol and am not finished for the day. Range from motion on right side is restrictedlike frozen shoulder. Still having trouble putting my head back all the way to see the ceiling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — day 7, dose 1
MedDRA: Feeling cold, Joint range of motion decreased, Neck pain, Peripheral coldness, Swelling — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Neck pain has moved to the left. Tremendous neck pain. Swelling felt in top of left shoulder blade. Difficulty turning head from left to right. Hands & body cold most of the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Survey response — day 28, dose 1
MedDRA: Bradycardia, Cardiac pacemaker insertion, Concussion, Emergency care, Fall, Head injury, Hospitalisation, Wound — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Last Monday, I fell, slammed my head on the bathroom tiled floor, incurred a concussion, sent to hospital ER for open head wound. I was hospitalized from 2/1 to 2/6. Bradycardia was diagnosed from test results and pacemaker was installed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Chills, Nausea

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Insomnia, Musculoskeletal chest pain, Office visit, Swelling — Feeling: Good · 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: Started to have pain and some swelling on left side of the rib cage and stomach. Cant position myself painlessly for sleep at night. · Healthcare visit (other): PCP Visit today. Waited to see a gastroenterologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 1 — Could Not Reach Participant
2021-07-21
Call 2 — Could Not Reach Participant
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pancreatic carcinoma recurrent, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Recurrence of pancreatic cancer,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call 1 — Could Not Reach Participant
2021-08-31
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-02-10	Unsuccessful
2021-03-30	Unsuccessful
2021-08-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Neck on rt side, rt shoulder, and rt shoulder blade were killing me today. I had increased area that needed heating. Ive had two sets of Tylenol and am not finished for the day. Range from motion on right side is restrictedlike frozen shoulder. Still having trouble putting my head back all the way to see the ceiling.

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Neck pain has moved to the left. Tremendous neck pain. Swelling felt in top of left shoulder blade. Difficulty turning head from left to right. Hands & body cold most of the day.

Release 4 — day 28, dose 1

2021-02-10

Symptoms: Last Monday, I fell, slammed my head on the bathroom tiled floor, incurred a concussion, sent to hospital ER for open head wound. I was hospitalized from 2/1 to 2/6. Bradycardia was diagnosed from test results and pacemaker was installed.

Release 6 — day 42, dose 2

2021-03-30

Symptoms: Started to have pain and some swelling on left side of the rib cage and stomach. Cant position myself painlessly for sleep at night.

Healthcare visit (other): PCP Visit today. Waited to see a gastroenterologist.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Recurrence of pancreatic cancer,

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 pain upper	✓	✓	✓
SD	Bradycardia	✓	✓	✓
SD	Cardiac pacemaker insertion	✓	✓	✓
SD	Concussion	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Emergency care	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Head injury	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Pancreatic carcinoma recurrent	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Swelling	✓	✓	✓
SD	Wound	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓

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