YCL-21235-03160

5 vaccinations 9 coded responses 38 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chronic kidney disease, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: CKD stage 4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Abdominal distension, Diarrhoea, Dizziness, Flatulence, Oliguria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Reaction to Linzess. Decreased urinary output (severe) , water coming from rectum. Gas, bloating and severe dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cerebrovascular accident, Hospitalisation — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had a stroke this morning and am in hospital.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 7, dose 2
MedDRA: Cerebrovascular accident, Hospitalisation — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had stroke yesterday am still in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 14, dose 2
MedDRA: Cerebrovascular accident, Monoplegia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Stroke with paralipsis left arm and hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 42, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue and sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Hospitalisation, Pre-existing disease, Urinary tract infection — Feeling: Good · 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: Severe UTI with return of stroke symptoms requiring hospitalization for 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 2 — Left Voicemail
2021-10-28
Dose 3 — Pfizer-BioNTech
2022-04-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-03
Dose 4 — Pfizer-BioNTech
2022-10-28
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-28
Health check-in — day 0, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — day 42, dose 5
MedDRA: Adverse drug reaction, Pre-existing disease — 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: New bp med caused heart rate 42 and o2 of 83 and numerous other side effects. Returned to original med and within a week Returned to mostly normal.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-14
Call 2 — Left Voicemail
2022-12-14
Call 2 — Left Voicemail
2022-12-14
Call 2 — Left Voicemail
2022-12-14
Call 2 — Left Voicemail
2022-12-14
Call 3 — Left Voicemail
2022-12-14
Call 1 — Left Voicemail
2023-01-27
Survey response — 3 months, dose 5
MedDRA: Oedema, Oedema peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-04-28
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-10-28	Pfizer-BioNTech	No
4	2022-05-03	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-08	Unsuccessful
2021-04-09	Unsuccessful
2021-04-16	Unsuccessful
2021-05-14	Unsuccessful
2021-07-02	Unsuccessful
2022-12-09	Unsuccessful
2023-01-27	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): CKD stage 4

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Reaction to Linzess. Decreased urinary output (severe) , water coming from rectum. Gas, bloating and severe dizziness.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Had a stroke this morning and am in hospital.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Had stroke yesterday am still in hospital

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Stroke with paralipsis left arm and hand

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Extreme fatigue and sleepiness

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Severe UTI with return of stroke symptoms requiring hospitalization for 2 days.

Release 12 — day 42, dose 5

2022-12-09

Symptoms: New bp med caused heart rate 42 and o2 of 83 and numerous other side effects. Returned to original med and within a week Returned to mostly normal.

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	Abdominal distension	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Cerebrovascular accident	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Monoplegia	·	·	✓
SD	Oedema	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Oliguria	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Cerebrovascular accident	✓	✓	✓
SRO	Chronic kidney disease	○	✓	○
SRO	Hospitalisation	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓

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