YDW-15629-11407

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-02-27

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

2021-02-26
Dose 1 — Moderna
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tiredness might be from lack of sleep because the site hurt too much to sleep from about 5:30 am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Swelling · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Arm keeps swelling up then going down, back and forth.

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, Itching · None

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

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nephrolithiasis — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Vomiting, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Spent early morning in the ER.diagnosed with kidney stones.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Nephrolithiasis, Pre-existing disease — Feeling: Fair · Diarrhea · Be unable to work

Free text: Could be the antibiotic I got for kidney stones.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Hospitalisation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Ive been in the hospital for 17 days due to an acute kidney injury.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 28, 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)
2021-04-30
Survey response — day 35, dose 2
MedDRA: Joint swelling, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I have total renal failure. My legs and left hip are swollen to twice their normal size.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 35, 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)
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Kidneys still not fully functioning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
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)
2021-06-28
Call 1 — Could Not Reach Participant
2021-07-06
Call 2 — Could Not Reach Participant
2021-07-09
Call 3 — Could Not Reach Participant
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Call X — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-28	Unsuccessful
2021-04-23	Unsuccessful
2021-04-30	Unsuccessful
2021-06-25	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Tiredness might be from lack of sleep because the site hurt too much to sleep from about 5:30 am.

2021-03-02

Systemic reaction (other): Arm keeps swelling up then going down, back and forth.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Spent early morning in the ER.diagnosed with kidney stones.

2021-03-31

Systemic reaction (other): Could be the antibiotic I got for kidney stones.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Ive been in the hospital for 17 days due to an acute kidney injury.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: I have total renal failure. My legs and left hip are swollen to twice their normal size.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Kidneys still not fully functioning.

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	Hospitalisation	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nephrolithiasis	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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