YEP-99643-53626

4 vaccinations 7 coded responses 18 check-ins 6 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-07
Report sent to call center — day 0, dose 1
Be unable to work

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Joint pains · Be unable to work

Adult check-in
2021-01-16
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2021-01-21
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasal inflammation — Feeling: Fair · Be unable to work

Free text: Extreme fatigue, sinus swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-11
Survey response — day 7, dose 2
MedDRA: Asthenia — Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Lots of severe headaches, but we moved to Florida: severe atmospheric pressure changes almost everyday.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
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)
2021-08-09
Call 1 — Left Voicemail
2021-08-25
Dose 3 — Moderna
2021-11-24
Survey response — 3 months, dose 3
MedDRA: Cough, Nasal congestion, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nasal congestion and dry cough. Might be allergies, we're in Florida, Fall starts late here!

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Arthritis, Condition aggravated, Fatigue, Gait disturbance, Hyperhidrosis, Malaise, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My fibromyalgia got worse. My arthritis never hurt before now it limits my walking. sick in bed w severe malaise, runny nose, sinus congestion, exhaustion for 4 weeks! Took Covid home test every week, all negative. No fever, but sweating.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Dose 4 — Moderna
Co-administered: Flu
2022-04-14
Survey response — day 21, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Fibromyalgia flareups got worse

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-04-21
Call 1 — Left Voicemail
2022-04-21
Call successful
Participant prefers to complete VAERS report online
2022-04-21
Call successful
Participant prefers to complete VAERS report online
2022-04-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-20
Survey response — 12 months, dose 4
MedDRA: Brain fog, Cough, Decreased appetite, Fatigue, Lymphadenopathy, Oropharyngeal pain, Pre-existing disease, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-20
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-21
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-08-25	Moderna	No
4	2022-03-20	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	priority 2/3
2021-01-08	priority 2/3
2021-01-09	priority 2/3
2021-01-16	priority 2/3
2021-08-05	Successful 2022-04-21	Participant prefers to complete VAERS report online
2022-04-14	Successful 2022-04-21	Participant prefers to complete VAERS report online
2023-03-20	Successful 2023-03-21	Does not wish to fill out VAERS report

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Extreme fatigue, sinus swelling

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Weakness

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Lots of severe headaches, but we moved to Florida: severe atmospheric pressure changes almost everyday.

Release 10 — 3 months, dose 3

2021-11-24

Symptoms: Nasal congestion and dry cough. Might be allergies, we're in Florida, Fall starts late here!

Release 11 — 6 months, dose 3

2022-02-23

Symptoms: My fibromyalgia got worse. My arthritis never hurt before now it limits my walking. sick in bed w severe malaise, runny nose, sinus congestion, exhaustion for 4 weeks! Took Covid home test every week, all negative. No fever, but sweating.

Release 11 — day 21, dose 4

2022-04-14

Symptoms: Fibromyalgia flareups got worse

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	Arthritis	·	·	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Headache	✓	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal inflammation	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Asthenia	✓	✓	✓

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