YFG-23566-29194

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-04-16

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

2021-04-14
Dose 1 — Moderna
2021-04-16
Registered in v-safe
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Moderate sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral coldness — Feeling: Good

Free text: Cold extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 1
MedDRA: Peripheral coldness — Feeling: Good

Free text: cold extremities at night since 4/14 vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-14
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extremities coldness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cold extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Site: Itching

Free text: Cold extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Survey response — day 7, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Fatigue or tiredness

Free text: Cold extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 35, dose 2
MedDRA: Adverse reaction, Urticaria — Feeling: Good

Free text: Whelps on arms and one leg. Large and small but only a few. Could be new meds. Stopped taking about 5 days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 42, dose 2
MedDRA: Dry skin, Office visit, Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rough rash around both eyes. Started about 4 weeks ago, lasted o2 week, then got a little better but never cleared. Started worsening abo5 days ago. Saw PC doc. Could be caused by my Rosacea. She prescribed antibiotics for 10 days. · Healthcare visit (other): PC doc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-01
Call successful
Participant prefers to complete VAERS report online
2021-08-13
Survey response — 3 months, dose 2
MedDRA: Eye infection, Office visit, Pre-existing disease, Rosacea, Sinusitis, Skin infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Facial skin infection, a common complication of Rosacea, which started after 2nd vaccine Infection spread to eyes and sinuses. On 3rd round of Doxycycline. Cant get in to Dermatologist until October. · Healthcare visit (other): Primary Care - 2 docs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call successful
Reported to VAERS during previous contact from GDIT
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Muscular weakness, Pyrexia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Headache, extreme muscle weakness and exhaustion, fever 102 · Healthcare visit (other): labs

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-25	Successful 2021-07-01	Participant prefers to complete VAERS report online
2021-08-13	Successful 2021-08-18	Reported to VAERS during previous contact from GDIT
2021-11-12	Successful 2021-11-15	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Moderate sinus pain

2021-04-20

Systemic reaction (other): Cold extremities

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): cold extremities at night since 4/14 vaccine

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Extremities coldness

2021-05-16

Systemic reaction (other): Cold extremities

2021-05-19

Systemic reaction (other): Cold extremities

Release 8 — day 7, dose 2

2021-05-21

Systemic reaction (other): Cold extremities

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Whelps on arms and one leg. Large and small but only a few. Could be new meds. Stopped taking about 5 days ago.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Rough rash around both eyes. Started about 4 weeks ago, lasted o2 week, then got a little better but never cleared. Started worsening abo5 days ago. Saw PC doc. Could be caused by my Rosacea. She prescribed antibiotics for 10 days.

Healthcare visit (other): PC doc

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Facial skin infection, a common complication of Rosacea, which started after 2nd vaccine Infection spread to eyes and sinuses. On 3rd round of Doxycycline. Cant get in to Dermatologist until October.

Healthcare visit (other): Primary Care - 2 docs

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Headache, extreme muscle weakness and exhaustion, fever 102

Healthcare visit (other): labs

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Adverse reaction	✓	✓	○
SD	Dry skin	✓	✓	✓
SD	Eye infection	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rosacea	✓	·	✓
SD	Sinusitis	✓	·	✓
SD	Skin infection	✓	·	✓
SD	Urticaria	·	·	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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