YCQ-23522-38302

4 vaccinations 9 coded responses 14 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-11-11

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

Timeline

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

2021-02-20
Dose 1 — Moderna
2021-03-24
Dose 2 — Moderna
2021-11-11
Registered in v-safe
2021-11-11
Dose 3 — Moderna
2021-11-11
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia, Myalgia, Nausea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle aches and nausea were bad all nite. I got very little sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site induration — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Area around shoot hot and 2" circles very h hard ard.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle tightness, Neck pain, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck still tight, painful. After booster not as bad as after #2vaccine but still tight and sore.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site swelling, Medical counselling, Myalgia, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Began aspirin every 4hr. Really helps. Talked w acupuncture doctor about ongoing muscle pain. Shot area no longer red and swollen. Neck improved.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Survey response — day 7, dose 3
MedDRA: Meningism, Office visit — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Dr says Dural system irritated

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 21, dose 3
MedDRA: Back disorder, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful back problems. Dural system? On and off since vaccines. Is this related to booster? Not sure.PT thinks it is.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 42, dose 3
MedDRA: Myalgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches and neck pain again

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Office visit — 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: My doctor wonders if the increased arthritis pain came from the 2nd vaccine? · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-03-15
Call successful
Participant prefers to complete VAERS report online
2022-05-12
Dose 4 — Other-Unknown
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Diarrhoea, Staphylococcal infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad diarrhea, golden like Staph aureus. I do not think this is related to vaccines or boosters.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna	No
2	2021-03-24	Moderna	No
3	2021-11-11	Moderna	No
4	2022-05-12	Other-Unknown	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-10	Successful 2022-03-15	Participant prefers to complete VAERS report online

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Muscle aches and nausea were bad all nite. I got very little sleep.

2021-11-13

Systemic reaction (other): Area around shoot hot and 2" circles very h hard ard.

2021-11-14

Systemic reaction (other): Neck still tight, painful. After booster not as bad as after #2vaccine but still tight and sore.

2021-11-15

Systemic reaction (other): Began aspirin every 4hr. Really helps. Talked w acupuncture doctor about ongoing muscle pain. Shot area no longer red and swollen. Neck improved.

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): Dr says Dural system irritated

Release 10 — day 21, dose 3

2021-12-04

Symptoms: Painful back problems. Dural system? On and off since vaccines. Is this related to booster? Not sure.PT thinks it is.

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Muscle aches and neck pain again

Release 11 — 3 months, dose 3

2022-02-10

Symptoms: My doctor wonders if the increased arthritis pain came from the 2nd vaccine?

Healthcare visit (other): Chiropractor

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Bad diarrhea, golden like Staph aureus. I do not think this is related to vaccines or boosters.

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	Arthralgia	·	·	✓
SD	Back disorder	·	·	✓
SD	Back pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Office visit	·	·	✓
SD	Staphylococcal infection	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site induration	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Meningism	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Office visit	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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