YCY-16550-67123

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 082 / NJ
Registered: 2021-04-23

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

2021-03-26
Dose 1 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Dose 2 — Moderna
2021-04-23
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and lightheaded

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: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Backache

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: Back pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Backache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Fatigue, Heavy menstrual bleeding, Lethargy, Menstruation irregular, Migraine, Mood swings, Premenstrual syndrome — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: MUCH more intense menstrual cycle. Extreme fatigue (could not keep my eyes open, body lethargy), very heavy bleeding, intense PMS with mood swings three days prior to bleeding, migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 28, dose 2
MedDRA: Crying, Depression, Dysmenorrhoea, Heavy menstrual bleeding, Mood swings, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fine now, but period lasted MUCH longer than usual, almost 9 days. Pain was very intense, 7/10 for hours at a time with cramping and nausea. Extreme emotional swings and bouts of sobbing/depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Dysmenorrhoea, Menstrual disorder, Migraine, Mood swings, Ovulation pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: All related to menstrual cycle, which continues to be abnormally painful at all stages. Ovulation is very painful this week, mood swings continue to be volatile, and migraines (which usually happen during actual menstruation for me) are more frequent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-04-25
Survey response — 12 months, dose 2
MedDRA: Diarrhoea, Heart rate increased, Migraine, Nausea, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: High heart rate when resting or doing light activity, intense and frequent migraines, persistent nausea and diarrhea. All of this is post-COVID

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-04-25	Unsuccessful

Free text

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Dizziness and lightheaded

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Backache

2021-04-25

Systemic reaction (other): Backache

Release 8 — day 21, dose 2

2021-05-14

Symptoms: MUCH more intense menstrual cycle. Extreme fatigue (could not keep my eyes open, body lethargy), very heavy bleeding, intense PMS with mood swings three days prior to bleeding, migraine.

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Fine now, but period lasted MUCH longer than usual, almost 9 days. Pain was very intense, 7/10 for hours at a time with cramping and nausea. Extreme emotional swings and bouts of sobbing/depression.

Release 8 — day 42, dose 2

2021-06-04

Symptoms: All related to menstrual cycle, which continues to be abnormally painful at all stages. Ovulation is very painful this week, mood swings continue to be volatile, and migraines (which usually happen during actual menstruation for me) are more frequent cut off by CDC

Release 11 — 12 months, dose 2

2022-04-25

Symptoms: High heart rate when resting or doing light activity, intense and frequent migraines, persistent nausea and diarrhea. All of this is post-COVID

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	Crying	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Mood swings	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Ovulation pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Premenstrual syndrome	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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