YEV-25594-35472

3 vaccinations 17 coded responses 35 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 017 / MA
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Fatigue improving. Did not. Red a nap today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 1
MedDRA: Cough, Dizziness, Somnolence — Feeling: Poor · Site: Redness · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, cough had to nap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 14, dose 1
MedDRA: Dizziness, Fatigue, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Very dizzy and tired. · Healthcare visit (other): Have just scheduled an. appt. wPC

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Just mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt good in morning and crashed in afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy and foggy. Need to rest often

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Tongue dry — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizzy. I am attributing this to allergies. Allergist warned me after vaccine , I may have an allergic reaction to vaccines. Then it was really nasty. Dry tongue sticking to mouth- could breath. Older. Not take shotAlso PC had an MRI done. Ageing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Moderna
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: Am happily feeling quite good!

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Somewhat dizzy.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Middle ear effusion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fluid in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — day 21, dose 3
MedDRA: Cough, Dizziness, Fatigue, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cold, sore throat, cough, fatigue and dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, cold fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Call 1 — Left Voicemail
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-12-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-12-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): None!

2021-03-09

Systemic reaction (other): None

2021-03-11

Systemic reaction (other): Fatigue improving. Did not. Red a nap today.

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Dizzy, cough had to nap

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Very dizzy and tired.

Healthcare visit (other): Have just scheduled an. appt. wPC

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Just mild fatigue

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Slight dizziness

2021-04-05

Systemic reaction (other): Felt good in morning and crashed in afternoon

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Very dizzy

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Dizzy and foggy. Need to rest often

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Dizzy. I am attributing this to allergies. Allergist warned me after vaccine , I may have an allergic reaction to vaccines. Then it was really nasty. Dry tongue sticking to mouth- could breath. Older. Not take shotAlso PC had an MRI done. Ageing. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Am happily feeling quite good!

2021-12-10

Systemic reaction (other): Somewhat dizzy.

2021-12-12

Systemic reaction (other): Fluid in ears

2021-12-13

Systemic reaction (other): Coughing

Release 10 — day 21, dose 3

2021-12-29

Symptoms: Cold, sore throat, cough, fatigue and dizziness

Release 10 — day 28, dose 3

2022-01-05

Symptoms: Cough, cold fatigue

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	Unevaluable event	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Tongue dry	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Middle ear effusion	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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