YD2-11936-72196

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 860 / AZ
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I also have Fibromyalgia and it's snowing today, so it's entirely likely the pain is from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: I have Fibromyalgia, so the joint pain could be related to that. The pain in my arm was BAD yesterday, but it's much better today!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Asthenia, Back pain, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Today I feel weak and foggy, my head hurts and my back and kidneys hurt too, so it might very well be a kidney infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Fibromyalgia, Psoriatic arthropathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just what is likely a Fibromyalgia and psoriatic arthritis flare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Pain, Pelvic pain — Feeling: Fair

Free text: Acute abdominal pain accompanying intermittent pelvic pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: A bit of a sore throat for a few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Lymphadenopathy, Pain, Peripheral swelling — Feeling: Fair

Free text: Localized pain and swelling on my arm and on my underarm glands.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	priority 2/3
2021-01-02	priority 2/3
2021-01-03	priority 2/3
2021-01-18	priority 2/3

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): I also have Fibromyalgia and it's snowing today, so it's entirely likely the pain is from that.

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): I have Fibromyalgia, so the joint pain could be related to that. The pain in my arm was BAD yesterday, but it's much better today!

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Today I feel weak and foggy, my head hurts and my back and kidneys hurt too, so it might very well be a kidney infection.

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Just what is likely a Fibromyalgia and psoriatic arthritis flare.

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Acute abdominal pain accompanying intermittent pelvic pain

Release 5 — day 42, dose 2

2021-03-08

Symptoms: A bit of a sore throat for a few days

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Localized pain and swelling on my arm and on my underarm glands.

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	Abdominal pain	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Fibromyalgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Psoriatic arthropathy	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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