YGH-24414-64293

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 432 / OH
Registered: 2021-03-26

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-12
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — day 14, dose 1
MedDRA: Ear discomfort, Fatigue, Ocular discomfort — Feeling: Poor · Be unable to work, 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: Ear and eye pressure and extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
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)
2021-04-02
Survey response — day 21, dose 1
MedDRA: Back pain, Chest pain, Dizziness, Ear discomfort, Fatigue, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Super achy, extreme tiredness, lightheaded, ears feeling full , painful back and chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Moderna
2021-04-09
Survey response — day 0, dose 2
MedDRA: Blood pressure increased, Dizziness — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lightheadedness dizzines, increased blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 0, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Dizziness, lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Dizziness, Emergency care, Office visit — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Dizzines, lightheadededness, extreme spikes in blood pressure · Healthcare visit (other): Follow up visit with my primary care dr. thats resulted in a later ER Visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-18
Survey response — day 7, dose 2
MedDRA: Blood pressure abnormal, Blood pressure increased — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Abnormal spikes in blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Blood pressure increased — Feeling: Poor · Be unable to work, 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: Blood pressure spikes. Blood oressure not managed even though my meds have been increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 28, dose 2
MedDRA: Hypertension — Feeling: Fair · Be unable to work

Free text: Elevated hypertension issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Fatigue, Heart rate irregular — Feeling: Fair

Free text: Extreme fatigue and heartbeat irregularities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-14
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Fatigue, Paraesthesia, Tremor — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Leg tremors and or vibrations. Extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-04-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Successful	Participant prefers to complete VAERS report online
2021-04-09	Successful	Participant prefers to complete VAERS report online
2021-04-10	Successful	Participant prefers to complete VAERS report online
2021-04-14	Successful	Participant prefers to complete VAERS report online
2021-04-30	Successful	Participant prefers to complete VAERS report online
2021-10-09	Successful	Participant prefers to complete VAERS report online
2022-04-09	Successful 2022-04-12	Participant prefers to complete VAERS report online

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Ear and eye pressure and extreme fatigue.

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Super achy, extreme tiredness, lightheaded, ears feeling full , painful back and chest.

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Lightheadedness dizzines, increased blood pressure

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Dizziness, lightheadedness

2021-04-14

Systemic reaction (other): Dizzines, lightheadededness, extreme spikes in blood pressure

Healthcare visit (other): Follow up visit with my primary care dr. thats resulted in a later ER Visit

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): Abnormal spikes in blood pressure

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Blood pressure spikes. Blood oressure not managed even though my meds have been increased.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Elevated hypertension issues

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Extreme fatigue and heartbeat irregularities

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Heart palpitations

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Leg tremors and or vibrations. Extreme fatigue.

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Ocular discomfort	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Tremor	·	·	✓
SRO	Blood pressure abnormal	✓	✓	○
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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