YDM-35613-46134

2 vaccinations 10 coded responses 18 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 430 / OH
Registered: 2021-01-14

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

2021-01-08
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-17
Survey response — day 7, dose 1
MedDRA: Anaphylactic reaction, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Anaphylactic response 15 min after recieving it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 42, dose 1
MedDRA: Arthralgia, Chest pain, Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, joint pain, left sided chest pain, headaches, and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Dose 2 — Janssen/Johnson & Johnson
2021-05-25
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Heavy limbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Dizziness, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and some increased asthma symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain

Adult check-in
2021-06-02
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Fatigue, Rash — Feeling: Fair · Be unable to work

Free text: Increasing red spots on my chest and arms with increasing fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Dizziness, Dyspnoea, Fatigue, Headache, Musculoskeletal chest pain, Rash macular — Feeling: Fair · Be unable to work or attend school

Free text: Continued red spots on legs, arms, chest, and neck. Headache, chest tightness radiating to back with left rib pain, shortness of breath, dizziness, and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-26
Survey response — 6 months, dose 2
MedDRA: Headache — Feeling: Good

Free text: Increased headaches

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-05-25	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3

Free text

Release 2 — day 7, dose 1

2021-01-17

Systemic reaction (other): Anaphylactic response 15 min after recieving it

Release 4 — day 42, dose 1

2021-02-23

Symptoms: Fatigue, joint pain, left sided chest pain, headaches, and brain fog

Release 8 — day 0, dose 2

2021-05-25

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Heavy limbs

2021-05-27

Systemic reaction (other): Dizziness and some increased asthma symptoms

2021-05-28

Systemic reaction (other): Dizziness

2021-05-30

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Increasing red spots on my chest and arms with increasing fatigue

Release 9 — day 21, dose 2

2021-06-15

Symptoms: Continued red spots on legs, arms, chest, and neck. Headache, chest tightness radiating to back with left rib pain, shortness of breath, dizziness, and fatigue

Release 10 — 6 months, dose 2

2021-11-26

Symptoms: Increased headaches

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	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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