YDX-27929-46199

3 vaccinations 5 coded responses 26 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Went back to bed today after breakfast. I never do that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-22
Survey response — day 21, dose 1
MedDRA: Erysipelas, Injection site erythema, Injection site inflammation, Injection site nodule, Injection site swelling, Injection site warmth, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I developed a 2cm knot at injection site that was inflamed on day 7. Day 8 it was the size of a baseball and even more red and feverish. Continued to worsen. Diagnosed with erysipelas. Treated with keflex. Responded in24-48 hrs. Took 6-7 days to re · Healthcare visit (other): Treated with keflex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Muscles and its were severe yesterday evening. I could nearly walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-31
Call 1 — Left Voicemail
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Hospitalisation, Pneumonia, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, 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 had pneumonia which took 7 days in hospital. They thought that I had covid but all tests negative. My white count never went up and I ran 103 + fever for 5 days. No cough just fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-30
Call 1 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-11
Dose 3 — Moderna
2022-10-11
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-10-25
Survey response — day 14, dose 3
MedDRA: COVID-19, Chest discomfort, Cough, Diarrhoea, Fatigue, Headache, Laboratory test abnormal, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Covid. Diarrhea,cough and congestion, headache,fatigue, raw chest · Healthcare visit (other): Two positives tests

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-11-02
Call 2 — Left Voicemail
2022-11-02
Call 2 — Left Voicemail
2022-11-02
Call 2 — Left Voicemail
2023-01-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2022-10-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-22	Unsuccessful
2021-07-28	Unsuccessful
2022-10-25	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Went back to bed today after breakfast. I never do that.

Release 2 — day 21, dose 1

2021-01-22

Symptoms: I developed a 2cm knot at injection site that was inflamed on day 7. Day 8 it was the size of a baseball and even more red and feverish. Continued to worsen. Diagnosed with erysipelas. Treated with keflex. Responded in24-48 hrs. Took 6-7 days to re cut off by CDC

Healthcare visit (other): Treated with keflex

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Muscles and its were severe yesterday evening. I could nearly walk.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: I had pneumonia which took 7 days in hospital. They thought that I had covid but all tests negative. My white count never went up and I ran 103 + fever for 5 days. No cough just fever.

Release 12 — day 14, dose 3

2022-10-25

Symptoms: Covid. Diarrhea,cough and congestion, headache,fatigue, raw chest

Healthcare visit (other): Two positives tests

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	Laboratory test abnormal	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Erysipelas	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site nodule	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	·	✓
SD	Pneumonia	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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