YF9-18868-26539

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 921 / CA
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Tenderness — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Just sore deltoid. Tender. No redness or swelling lol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache, Injection site pain, Myalgia, Nausea, Somnolence — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I received the 2nd shot at 945am. On 1/30/21. April 9 hrs later at 7 pm. I started getting really sleepy over the next 26 hrs i experienced moderate pain in my deltoid extreme fatigue and muscle aches chills. Moderate headache. Anfnausea this am. Sound 130pm today 1/31 i felt Better out of bed. Appetite returned snd headache gone. I took 500 mg Tylenol last night at 7pm and Motrin this am. I now just have a little tenderness at injection site. Body aches gone. I think people-my need to miss dome work if they are scheduled next day. I'm off today. Will return ti work tomorrow. Thanks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Headache, Paranasal sinus discomfort — Feeling: Good · Headache

Free text: Sinus pressure/headache/eyes irritateda little more than mild. But able to work Annoying symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache

Free text: I still have sinus pressure headache everyday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-13
Survey response — day 14, dose 2
MedDRA: Nausea, Sinus headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Yesterday i had sinus pressure headache all day into the evening some nausea. I feel better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Eyelid infection, Headache, Nausea, Paranasal sinus discomfort — Feeling: Good · 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: I had an eyelid infection. Took antibiotics for 2 week. Cleared. I have sinus pressure headaches more often. And nausea. Not sure if related. Just stating the facts. Thanks Not sure if age related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-01	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Just sore deltoid. Tender. No redness or swelling lol

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): I received the 2nd shot at 945am. On 1/30/21. April 9 hrs later at 7 pm. I started getting really sleepy over the next 26 hrs i experienced moderate pain in my deltoid extreme fatigue and muscle aches chills. Moderate headache. Anfnausea this am. Sound 130pm today 1/31 i felt Better out of bed. Appetite returned snd headache gone. I took 500 mg Tylenol last night at 7pm and Motrin this am. I now just have a little tenderness at injection site. Body aches gone. I think people-my need to miss dome work if they are scheduled next day. I'm off today. Will return ti work tomorrow. Thanks.

2021-02-02

Systemic reaction (other): Sinus pressure/headache/eyes irritateda little more than mild. But able to work Annoying symptoms

2021-02-04

Systemic reaction (other): I still have sinus pressure headache everyday.

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Yesterday i had sinus pressure headache all day into the evening some nausea. I feel better today.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: I had an eyelid infection. Took antibiotics for 2 week. Cleared. I have sinus pressure headaches more often. And nausea. Not sure if related. Just stating the facts. Thanks Not sure if age related.

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	Eyelid infection	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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