YCZ-25041-96912

4 vaccinations 9 coded responses 32 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 334 / FL
Registered: 2021-04-01

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
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

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: Myalgia, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle aches and fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Chills, Myalgia, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Vomiting, chills, muscle aches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2022-04-05
Call 1 — Left Voicemail
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-24
Dose 4 — Moderna
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-29
Survey response — days 1–6 daily, dose 4
MedDRA: Disorientation, Eye pain, Headache, Vertigo — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Explosive pain behind my right eye which created a massive debilitating headache. I felt disoriented. I feltlike the room was spinning.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — days 1–6 daily, dose 4
MedDRA: Neck pain, Pre-existing disease — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Since yesterday I've had severe pain at back of neck. Yesterday was terribly painful. Today the pain has gone down to moderate. Im concerned if the booster is affecting my thyroid. I had hyperthyroidism in the past.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-21
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Gastrointestinal, headaches, fatigue, fatigue, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Survey response — day 35, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Terrible gastrointestinal issues. All week.

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-28
Survey response — 3 months, dose 4
MedDRA: Fatigue, Gastrointestinal disorder, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Serious gastrointestinal with 2 hours of vomiting. My stomach hasnt returned to normal yet after two weeks. Feeling tired and fatigued from it all.

MedDRA releases: 2024-11 · check-in free text available
2023-05-24
Survey response — 12 months, dose 4
MedDRA: Diarrhoea, Headache, Neck pain, Office visit, Pyrexia, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-24
Call case (no matching report) — Unsuccessful
2023-05-25
Call 2 — Left Voicemail
2023-05-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-11-16	Moderna	No
4	2022-05-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Unsuccessful
2023-05-24	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Healthcare visit (other): Phone call

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Muscle aches and fever

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Vomiting, chills, muscle aches.

Release 11 — days 1–6 daily, dose 4

2022-05-29

Systemic reaction (other): Explosive pain behind my right eye which created a massive debilitating headache. I felt disoriented. I feltlike the room was spinning.

2022-05-30

Systemic reaction (other): Since yesterday I've had severe pain at back of neck. Yesterday was terribly painful. Today the pain has gone down to moderate. Im concerned if the booster is affecting my thyroid. I had hyperthyroidism in the past.

Release 12 — day 28, dose 4

2022-06-21

Symptoms: Gastrointestinal, headaches, fatigue, fatigue, fatigue.

Release 12 — day 35, dose 4

2022-06-29

Symptoms: Terrible gastrointestinal issues. All week.

Release 12 — 3 months, dose 4

2022-08-28

Symptoms: Serious gastrointestinal with 2 hours of vomiting. My stomach hasnt returned to normal yet after two weeks. Feeling tired and fatigued from it all.

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	Medical counselling	✓	✓	✓
SD	Chills	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Office visit	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Viral infection	·	·	✓
SD	Vomiting	✓	·	✓
SRO	Disorientation	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Headache	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Vertigo	·	·	✓

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