YCT-33572-91053

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 967 / HI
Registered: 2021-03-25

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: My head feels a little cloudy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphonia, Limb discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Heaviness in my leggs, hoarsed voice from the night before till early this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Swelling · Headache

Free text: Sniffles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Pain — Feeling: Good · Headache

Free text: Heaviness in leggs n some throbing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Fuzzy headed at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Breast pain — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Soreness in my left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Feeling abnormal, Limb discomfort — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fuzzy head, coughing, heavy leggs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left leg swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Limb discomfort, Pain in extremity, Peripheral swelling — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lightheaded, both leggs feel heavy/achy and left leg is slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Disturbance in attention — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Trouble focusing at times, slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Breast pain, Condition aggravated, Headache, Pre-existing disease, Sensory disturbance — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Experience pulling sensation/stabbing pains in both breasts and mild headaches, also my autoimmune disorder has worsen since then.

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-22	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): My head feels a little cloudy at times

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Heaviness in my leggs, hoarsed voice from the night before till early this morning.

2021-03-27

Systemic reaction (other): Sniffles

2021-03-28

Systemic reaction (other): Heaviness in leggs n some throbing

2021-03-31

Systemic reaction (other): Fuzzy headed at times

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Soreness in my left breast

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Fuzzy head, coughing, heavy leggs

2021-04-24

Systemic reaction (other): Coughing

2021-04-25

Systemic reaction (other): Coughing

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Left leg swollen

2021-04-27

Systemic reaction (other): Lightheaded, both leggs feel heavy/achy and left leg is slightly swollen

2021-04-28

Systemic reaction (other): Trouble focusing at times, slight cough

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Experience pulling sensation/stabbing pains in both breasts and mild headaches, also my autoimmune disorder has worsen since then.

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	Breast pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Headache	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sensory disturbance	·	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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