YCM-27114-00027

3 vaccinations 14 coded responses 39 check-ins 14 free-text entries 0 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 314 / GA
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: General physical condition, Hunger, Unevaluable event — Feeling: Fair · Muscle or body aches

Free text: I was hungry and felt physical.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Hunger — Feeling: Fair · Muscle or body aches

Free text: I've been hungry, always having food in my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Energy increased — Feeling: Fair · Muscle or body aches

Free text: I feel full of energy and want to be doing things. Getting ready for Lent helps me calm down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Muscle or body aches

Free text: The weather may contribute to my feelings, so I don't know. I was feeling irritated before vaccine #1. I have a mammogram tomorrow and it makes me irritable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Mammogram — Feeling: Fair · Muscle or body aches

Free text: I had my mammogram today. I had an extra round of coffee at Clary's. I came in, put food out, and bathed. Everything was very sloppy and messy. But, I dod Lent Day#1 and colored and read. I am passive, like an animal prepared to lunge. I am still irritated by climate change..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Muscle or body aches

Free text: I am irritable. I go to the doctor tomorrow. God's wrecking ball is rude. I am willing to concede that this viral pandemic is not His fault. At least He could move in the gentle breeze of Jesus. Jesus also knocks before entering. Who is this guy. This is not putting me in a good mood.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 1
MedDRA: Feeling of relaxation, Malaise — Feeling: Fair · Muscle or body aches

Free text: Better day, but still feeling fair. My doctor appointment changed from this friday to next friday. I walked there and back without a rest period. I feel relaxed and calmed. I was active but what I have to do is amplifying.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Chills

Free text: The hustle bustle of spring irritayes me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Frequent bowel movements, Pruritus — Feeling: Fair · Site: Itching · Diarrhea

Free text: I had a bowel movement at 2:00 am and then one at 9:00 am and then one at 4:00 pm. It was not lose. It was long and slimey and full grit of some kind. The whole of the inside of my legs itch. I will bathe soon and til then I am doing thing to not scatch it raw.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Pruritus — Feeling: Fair · Site: Itching · Chills

Free text: I itch all over my feet. I trimmed my toe nails. My toes itch. My ankles feel like something is crawling around inside. My knees itch. I am cold to the tiuch so I turmed off the thermal uniy. Syanding in the sun does not warm my skin. It is okay. If things get severe I am told to call the WellCare Value 24-hour nurses help line.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Head discomfort, Skin exfoliation — Feeling: Fair · Headache

Free text: My skin is scaling and I feel warming. My brain is flexing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Nervousness — Feeling: Fair · Fatigue or tiredness

Free text: My body warming helped me to relax. This makes me feel more okay. The uncertain future makes me nervous.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pruritus — Feeling: Fair · Chills, Headache

Free text: My shoulders and the back of my neck chilled. My nose, face, and ears itched.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Arthralgia, Cold sweat, Feeling hot — Feeling: Fair · Chills, Joint pains

Free text: I feel warm but my skin feels chills from a cold and icy breeze. This makes my joints ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-09
Dose 3 — Moderna
2021-11-09
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-11-09	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): I was hungry and felt physical.

2021-02-14

Systemic reaction (other): I've been hungry, always having food in my mouth.

2021-02-15

Systemic reaction (other): I feel full of energy and want to be doing things. Getting ready for Lent helps me calm down.

2021-02-16

Systemic reaction (other): The weather may contribute to my feelings, so I don't know. I was feeling irritated before vaccine #1. I have a mammogram tomorrow and it makes me irritable.

2021-02-17

Systemic reaction (other): I had my mammogram today. I had an extra round of coffee at Clary's. I came in, put food out, and bathed. Everything was very sloppy and messy. But, I dod Lent Day#1 and colored and read. I am passive, like an animal prepared to lunge. I am still irritated by climate change..

2021-02-18

Systemic reaction (other): I am irritable. I go to the doctor tomorrow. God's wrecking ball is rude. I am willing to concede that this viral pandemic is not His fault. At least He could move in the gentle breeze of Jesus. Jesus also knocks before entering. Who is this guy. This is not putting me in a good mood.

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): Better day, but still feeling fair. My doctor appointment changed from this friday to next friday. I walked there and back without a rest period. I feel relaxed and calmed. I was active but what I have to do is amplifying.

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): The hustle bustle of spring irritayes me.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I had a bowel movement at 2:00 am and then one at 9:00 am and then one at 4:00 pm. It was not lose. It was long and slimey and full grit of some kind. The whole of the inside of my legs itch. I will bathe soon and til then I am doing thing to not scatch it raw.

2021-03-14

Systemic reaction (other): I itch all over my feet. I trimmed my toe nails. My toes itch. My ankles feel like something is crawling around inside. My knees itch. I am cold to the tiuch so I turmed off the thermal uniy. Syanding in the sun does not warm my skin. It is okay. If things get severe I am told to call the WellCare Value 24-hour nurses help line.

2021-03-15

Systemic reaction (other): My skin is scaling and I feel warming. My brain is flexing.

2021-03-16

Systemic reaction (other): My body warming helped me to relax. This makes me feel more okay. The uncertain future makes me nervous.

2021-03-18

Systemic reaction (other): My shoulders and the back of my neck chilled. My nose, face, and ears itched.

Release 6 — day 7, dose 2

2021-03-19

Systemic reaction (other): I feel warm but my skin feels chills from a cold and icy breeze. This makes my joints ache.

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
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Feeling of relaxation	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	General physical condition	○	✓	○
SRO	Head discomfort	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mammogram	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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