YD8-25398-74904

3 vaccinations 12 coded responses 37 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 967 / HI
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Impaired work ability, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Unable to sleep on side where shot was. Took a sick day from work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fungal infection — Feeling: Good

Free text: Is yeast infection related to the vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Possible yeast infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Periorbital swelling, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose, congestion, puffy sore almost like black eye when I woke up this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Erythema, Eye disorder, Fatigue, Headache, Respiratory tract congestion, Rhinalgia, Rhinorrhoea, Sensitive skin, Sinusitis, Swelling face, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: What may be a sinus infection? I dont know, Ive never had a sinus infection before. I have a Drs appt tmrw. Fatigue, runny nose or congestion, swollen/sore/red/sensitive nose, headache/sensitive eyes. · Healthcare visit (other): My appointment is tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Fatigue, Malaise — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Mid April I felt sick. I was really fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-25
Call 1 — Left Voicemail
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Dose 3 — Moderna
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Blood donation, Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I donated blood today which could be contributing, but I was feeling extra tired before I donated blood.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-24
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-29
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Survey response — day 21, dose 3
MedDRA: Pain in extremity — 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

Free text: Foot pain. Doubt it's related, but you never know. My doctor is thinking it may be Plantar Fasciitis.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — day 21, dose 3
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 · 1 call case(s)
2022-01-06
Call 1 — Left Voicemail
2022-01-12
Survey response — day 28, dose 3
MedDRA: Dizziness, Fatigue, Pain in extremity, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue and shaky; shaky like maybe jitters? Kinda lightheaded. Plus ongoing foot pain since 12/31/21

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Call 2 — Left Voicemail
2022-01-19
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-15
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I'm currently dealing with what maybe a common cold; my Covid test came back negative.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-12-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	priority 2/3
2021-01-09	priority 2/3
2021-02-25	Unsuccessful
2022-01-05	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Unable to sleep on side where shot was. Took a sick day from work.

2021-01-11

Systemic reaction (other): Is yeast infection related to the vaccine?

2021-01-12

Systemic reaction (other): Possible yeast infection

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Runny nose

2021-02-06

Systemic reaction (other): Runny nose, congestion, puffy sore almost like black eye when I woke up this morning.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: What may be a sinus infection? I dont know, Ive never had a sinus infection before. I have a Drs appt tmrw. Fatigue, runny nose or congestion, swollen/sore/red/sensitive nose, headache/sensitive eyes.

Healthcare visit (other): My appointment is tomorrow

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Sore throat

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Mid April I felt sick. I was really fatigued.

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): I donated blood today which could be contributing, but I was feeling extra tired before I donated blood.

Release 10 — day 21, dose 3

2022-01-05

Symptoms: Foot pain. Doubt it's related, but you never know. My doctor is thinking it may be Plantar Fasciitis.

Release 10 — day 28, dose 3

2022-01-12

Symptoms: Fatigue and shaky; shaky like maybe jitters? Kinda lightheaded. Plus ongoing foot pain since 12/31/21

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: I'm currently dealing with what maybe a common cold; my Covid test came back negative.

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	Unevaluable event	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Erythema	✓	✓	✓
SD	Eye disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinalgia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sensitive skin	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Tremor	·	·	✓
SRO	Blood donation	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Fungal infection	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Insomnia	○	○	○
SRO	Periorbital swelling	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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