YD8-18794-11306

4 vaccinations 10 coded responses 47 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 070 / NJ
Registered: 2021-02-10

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

2021-02-09
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — day 14, dose 1
MedDRA: Musculoskeletal stiffness, Myalgia — Feeling: Fair

Free text: Increased myalgia and muscle stiffness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Hypotension, Poor peripheral circulation, Presyncope — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Decreased circulation to my hands/fingers for several hours. Low blood pressure/near syncope when not lying down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Nasal symptoms- congestion and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 2
MedDRA: Nasal disorder — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Nasal symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 2
MedDRA: Injection site rash — Feeling: Good

Free text: Developed mild rash at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 2
MedDRA: Arthritis, Hypersensitivity, Musculoskeletal stiffness, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flareup of arthritis and/or serositis?? Increased muscle pain/stiffness from baseline. Increased allergy symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 28, dose 2
MedDRA: Musculoskeletal stiffness, Myalgia — Feeling: Good

Free text: Increased muscle/joint stiffness and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Possible flareup of autoimmune disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — day 28, dose 3
MedDRA: Discomfort, Lymph node pain — Feeling: Good

Free text: Painful and tender gland under earlobe and jawline on left side. Moving jaw and swallowing was uncomfortable.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Call 1 — Requested Callback
2022-01-22
Callback requested for
01:00PM ET
2022-01-23
Call 2 — Left Voicemail
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flare up and/or worsening of autoimmune disease/RA/connective tissue disease.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Dose 4 — Moderna
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-13
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-14
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-11-09	Moderna	No
4	2022-10-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-30	Unsuccessful
2021-04-21	Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Increased myalgia and muscle stiffness.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Decreased circulation to my hands/fingers for several hours. Low blood pressure/near syncope when not lying down.

2021-03-15

Systemic reaction (other): Nasal symptoms- congestion and runny nose

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): Nasal symptoms

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Developed mild rash at injection site.

Release 6 — day 21, dose 2

2021-03-30

Symptoms: Flareup of arthritis and/or serositis?? Increased muscle pain/stiffness from baseline. Increased allergy symptoms.

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Increased muscle/joint stiffness and pain.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Possible flareup of autoimmune disease.

Release 10 — day 28, dose 3

2021-12-07

Symptoms: Painful and tender gland under earlobe and jawline on left side. Moving jaw and swallowing was uncomfortable.

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Flare up and/or worsening of autoimmune disease/RA/connective tissue disease.

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	Arthritis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SRO	Hypotension	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal disorder	✓	✓	✓
SRO	Poor peripheral circulation	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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