YDQ-14697-46722

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

Sex: Female
Age at first dose: 56-60
ZIP prefix: 125 / NY
Registered: 2021-04-12

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Moderna
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Nausea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Muscle or body aches

Free text: Fast heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-26
Survey response — day 14, dose 1
MedDRA: Chest pain, Fatigue, Pain — Feeling: Poor · Be unable to work

Free text: Body aches chest pain tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Dose 2 — Moderna
2021-05-12
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-05-20
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Headache, Nausea

Free text: Leg pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 14, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: Leg pain and swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Pain in extremity — Feeling: Poor · Be unable to work

Free text: Very tired leg pains joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 35, dose 2
MedDRA: Asthenia, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Terrible headaches and very weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 42, dose 2
MedDRA: Asthenia, Fatigue, Headache, Muscular weakness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very tired, headaches, weakness in my whole body and legs!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 3 months, dose 2
MedDRA: Fatigue, Muscular weakness — 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: Very tired and my legs are very weak!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call 1 — Could Not Reach Participant
2021-08-25
Call 2 — Left Voicemail
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Asthenia, Blood pressure fluctuation, Emergency care, Hypoaesthesia, Office visit, Paraesthesia, Unevaluable event — Feeling: Poor · 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: Weakness and Numbness and tingling all over my body!. The left side of my body is not feeling Wella talk. BP is constantly up And down. Have been to ER as well as my PC!

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
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 · no matching call case
2022-05-13
Survey response — 12 months, dose 2
MedDRA: Angina pectoris, Chest pain, Fatigue, Neuralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nerve pain constantly tired Chest pain heart area

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna
2	2021-05-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-14	Unsuccessful

1 report(s) with no call case — see the timeline.

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): Fast heart

Release 8 — day 14, dose 1

2021-04-26

Symptoms: Body aches chest pain tired

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): Leg pain

Release 8 — day 14, dose 2

2021-05-27

Symptoms: Leg pain and swelling

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Very tired leg pains joints

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Terrible headaches and very weak

Release 9 — day 42, dose 2

2021-06-24

Symptoms: Very tired, headaches, weakness in my whole body and legs!

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: Very tired and my legs are very weak!

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Weakness and Numbness and tingling all over my body!. The left side of my body is not feeling Wella talk. BP is constantly up And down. Have been to ER as well as my PC!

Release 11 — 12 months, dose 2

2022-05-13

Symptoms: Nerve pain constantly tired Chest pain heart area

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	Angina pectoris	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood pressure fluctuation	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Neuralgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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