YFL-24768-47042

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 809 / CO
Registered: 2021-01-14

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

2021-01-13
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pulmonary pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I use oxygen and seem to have some congestion and pain in my lungs. Have a runny nose. Weather is cold and snowing, which could cause symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Headache, Vision blurred — Feeling: Good

Free text: I had a bad headache last Saturday and noticed blurred vision. Havent had any more headaches, but still notice blurred vision when I am outside in the sunlight. I have had retinal surgery and cataract surgery. Im still looking forward to my second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Sensory disturbance — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Skin is painful to touch. Heart rate in 100-115 range. Snapping sensation in head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling and redness around injection site is less, however the original swelling and redness looked like the map of South America! The bottom part of swelling and redness has migrated down my arm. Still glad that I got the vaccinations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have had a stiff neck for 3 days. Probably has nothing to do with the shot ...old age, freezing and snow, drop in barometer aggravates old people! I have helped an older friend sign up for appointments twice. She has canceled both appointments. She says she cant find anyone to take her to appointment. I called transportation company in California who transports patients. They wanted $75.00 plus $3.50 per mile. Frustrating!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Back pain, Dyspnoea, Night sweats, Pain in extremity, Peripheral swelling, Renal disorder, Stiff leg syndrome — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Left leg swelling, stiffness, pain. Lower back pain. SOB. Kidney issues. GFR on 11/17/2020 was 64. GFR on 3/1/2021 was 37.3. Night sweating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Call 1 — Could Not Reach Participant
2021-11-19
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

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

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Irritable

2021-01-18

Systemic reaction (other): I use oxygen and seem to have some congestion and pain in my lungs. Have a runny nose. Weather is cold and snowing, which could cause symptoms.

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I had a bad headache last Saturday and noticed blurred vision. Havent had any more headaches, but still notice blurred vision when I am outside in the sunlight. I have had retinal surgery and cataract surgery. Im still looking forward to my second shot.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Skin is painful to touch. Heart rate in 100-115 range. Snapping sensation in head.

2021-02-14

Systemic reaction (other): Swelling and redness around injection site is less, however the original swelling and redness looked like the map of South America! The bottom part of swelling and redness has migrated down my arm. Still glad that I got the vaccinations.

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Have had a stiff neck for 3 days. Probably has nothing to do with the shot ...old age, freezing and snow, drop in barometer aggravates old people! I have helped an older friend sign up for appointments twice. She has canceled both appointments. She says she cant find anyone to take her to appointment. I called transportation company in California who transports patients. They wanted $75.00 plus $3.50 per mile. Frustrating!

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Left leg swelling, stiffness, pain. Lower back pain. SOB. Kidney issues. GFR on 11/17/2020 was 64. GFR on 3/1/2021 was 37.3. Night sweating.

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	Back pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Renal disorder	✓	✓	✓
SD	Stiff leg syndrome	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sensitivity to weather change	○	○	○
SRO	Sensory disturbance	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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