YF8-17141-42256

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 840 / UT
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Survey response — day 0, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Good

Free text: Tested positive for Covid on 11/11/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hypotension — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Rapid heartbeat 95 bpm at rest, low blood O2 90%

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: My glands at my neck were sore this morning when I awoke.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Headache, Fatigue or tiredness

Free text: Some shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Pyrexia — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Fever 101.0 degrees, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: I got the 2nd Moderna shot a week ago, so my symptoms are gone now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Arthropathy, Dyspnoea exertional — Feeling: Good

Free text: Shortness of breath with exertionKnee problems not related to Covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: 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: Inflammation of knee joints that is so bad I had to get my crutches out and get steroid shots in my knees. My knees started to hurt about a month after I had Covid and has gotten steadily worse.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call successful
Does not wish to fill out VAERS report
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Arthritis, Post-acute COVID-19 syndrome — 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: Lots of inflammation in my knee joints, COVID long haul symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 12 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 · 1 call case(s)
2022-04-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-21	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-20	Successful 2021-10-22	Does not wish to fill out VAERS report
2022-04-21	Successful 2022-04-25	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Tested positive for Covid on 11/11/2020

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Rapid heartbeat 95 bpm at rest, low blood O2 90%

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): My glands at my neck were sore this morning when I awoke.

2021-03-22

Systemic reaction (other): Some shortness of breath

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Fever 101.0 degrees, shortness of breath

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): I got the 2nd Moderna shot a week ago, so my symptoms are gone now

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Shortness of breath with exertionKnee problems not related to Covid

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Inflammation of knee joints that is so bad I had to get my crutches out and get steroid shots in my knees. My knees started to hurt about a month after I had Covid and has gotten steadily worse.

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Lots of inflammation in my knee joints, COVID long haul symptoms

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	Arthritis	·	·	✓
SD	Arthropathy	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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