YGG-66764-90492

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 4 call cases

Sex: —
Age at first dose: 36-40
ZIP prefix: 599 / MT
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Chest pain, Dyspnoea, Fatigue, Myalgia — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Similar symptoms to having Covid. Ive had chest pain, mild shortness of breath and fatigue and muscle aches. I had Covid in November so it feels the the vaccine made me relapse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Left Leg pain this happened after the first vaccine too

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

Free text: Left leg pain with tingling and numbness this occurred after the first vaccine too

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: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Continued left leg pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Leg pain still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Wheezing — Feeling: Good · 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: Wheezing and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-12
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: I got Covid again

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-27	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-03-10	Successful 2021-05-04	Reported to VAERS voluntarily prior to GDIT contact
2022-02-12	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Night sweats

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Similar symptoms to having Covid. Ive had chest pain, mild shortness of breath and fatigue and muscle aches. I had Covid in November so it feels the the vaccine made me relapse

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Left Leg pain this happened after the first vaccine too

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Left leg pain with tingling and numbness this occurred after the first vaccine too

2021-02-16

Systemic reaction (other): Continued left leg pain

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Leg pain still

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Wheezing and shortness of breath

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: I got Covid again

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	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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