YDK-12945-05301

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 543 / WI
Registered: 2021-03-02

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Survey response — day 0, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Slight breathing issues. Could be from normal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Poor · Headache, Fatigue or tiredness

Free text: Elevated blood sugar started yesterday. Was 365. Today 330.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: High sugars 298

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose fluctuation — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Blood sugars are back down to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — day 14, dose 2
MedDRA: Iliotibial band syndrome, Ligament pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Painful leg IT ligament

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Arthralgia, Tendonitis — Feeling: Fair · 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: Sore joints and tendonitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 28, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Inflammation of the left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 35, dose 2
MedDRA: Blood potassium decreased, Blood pressure decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: My blood pressure plummeted to 60/29 heart rate 66 and my potassium was below normal last Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 42, dose 2
MedDRA: Blood pressure decreased, Hypothyroidism — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Dropping blood pressure and hypothyroidism

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Call 1 — Left Voicemail
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Back pain, Inflammation, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Inflammation overall body. Pain in right leg and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-19	Unsuccessful
2021-05-10	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): Slight breathing issues. Could be from normal allergies.

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Elevated blood sugar started yesterday. Was 365. Today 330.

2021-03-06

Systemic reaction (other): High sugars 298

2021-03-08

Systemic reaction (other): Blood sugars are back down to normal.

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Painful leg IT ligament

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Sore joints and tendonitis.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Inflammation of the left leg

Release 8 — day 35, dose 2

2021-05-03

Symptoms: My blood pressure plummeted to 60/29 heart rate 66 and my potassium was below normal last Monday.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Dropping blood pressure and hypothyroidism

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Inflammation overall body. Pain in right leg and back.

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blood potassium decreased	✓	✓	✓
SD	Blood pressure decreased	✓	✓	✓
SD	Hypothyroidism	✓	✓	✓
SD	Iliotibial band syndrome	○	✓	○
SD	Inflammation	✓	✓	✓
SD	Ligament pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SRO	Blood glucose fluctuation	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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