YFS-70423-38300

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 339 / FL
Registered: 2021-05-22

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

2021-05-22
Registered in v-safe
2021-05-22
Dose 1 — Moderna
2021-05-22
Survey response — day 0, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight bruise on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Just a small bruise on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Still light bruising at the injection site. Fading now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Joint swelling, Myalgia, Restless legs syndrome — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Restless legs, joint and muscle pain is only in hips and legs. Light swelling of ankles. May not be vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-19
Dose 2 — Moderna
2021-06-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-06-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Shortness of breath and Red spot located in front of arm and itches. Not where I got the shot but like it moved down my arm and to the right. About the size of a silver dollar.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-07-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 3 months, dose 2
MedDRA: Headache, Hypomenorrhoea, Menstrual disorder, Menstruation irregular — Feeling: Good

Free text: Changes in menstrual cycles. Cycles further apart and lighter bleeding. More frequent mild headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Ear infection, Sinusitis — Feeling: Good · 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: Had Bronchitis, ear infections and sinus infections that lasted the entire month of November and antibiotics were not helpful.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
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)
2021-12-23
Call 2 — Left Voicemail
2022-06-19
Survey response — 12 months, dose 2
MedDRA: Office visit, Vertigo — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo · Healthcare visit (other): Regular Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-22	Moderna
2	2021-06-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-18	Unsuccessful
2022-06-19	Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-05-22

Systemic reaction (other): Slight bruise on injection site

Release 8 — days 1–6 daily, dose 1

2021-05-23

Systemic reaction (other): Just a small bruise on injection site

2021-05-25

Systemic reaction (other): Still light bruising at the injection site. Fading now.

2021-05-26

Systemic reaction (other): Restless legs, joint and muscle pain is only in hips and legs. Light swelling of ankles. May not be vaccine related.

Release 9 — days 1–6 daily, dose 2

2021-06-22

Systemic reaction (other): Shortness of breath and Red spot located in front of arm and itches. Not where I got the shot but like it moved down my arm and to the right. About the size of a silver dollar.

Release 9 — 3 months, dose 2

2021-09-18

Symptoms: Changes in menstrual cycles. Cycles further apart and lighter bleeding. More frequent mild headaches.

Release 10 — 6 months, dose 2

2021-12-18

Symptoms: Had Bronchitis, ear infections and sinus infections that lasted the entire month of November and antibiotics were not helpful.

Release 12 — 12 months, dose 2

2022-06-19

Symptoms: Vertigo

Healthcare visit (other): Regular Doctor visit

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	·	·	✓
SD	Bronchitis	·	·	✓
SD	Ear infection	·	·	✓
SD	Headache	·	·	✓
SD	Hypomenorrhoea	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓

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