YGM-17985-19665

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 799 / TX
Registered: 2021-01-03

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Nausea

Free text: Numbness on my tongue and face, tingling on left hand/fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: Weird taste in mouth, dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Dose 2 — Moderna
2021-01-31
Survey response — day 0, dose 2
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Good · Joint pains

Free text: Tingling on left arm (not the arm of injection site), tingling on lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling winded when talking/ walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Bruising on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Bowel movement irregularity — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Digestive issues (no regular bowel movements)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation delayed, Peripheral swelling — Feeling: Good · 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: I had 1 heavy period and it was 2 weeks late. Also my left foot was swollen for 1-2 days recently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-02
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I tested positive for COVID again

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-02-03
Call 1 — Could Not Reach Participant
2022-02-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-01-31	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-02	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-02	Successful 2022-02-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2021-01-03

Systemic reaction (other): Numbness on my tongue and face, tingling on left hand/fingers

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Weird taste in mouth, dry mouth

Release 3 — day 0, dose 2

2021-01-31

Systemic reaction (other): Tingling on left arm (not the arm of injection site), tingling on lips

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Feeling winded when talking/ walking

2021-02-04

Systemic reaction (other): Bruising on injection site

2021-02-05

Systemic reaction (other): Digestive issues (no regular bowel movements)

Release 8 — 3 months, dose 2

2021-05-02

Symptoms: I had 1 heavy period and it was 2 weeks late. Also my left foot was swollen for 1-2 days recently.

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: I tested positive for 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	Heavy menstrual bleeding	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Bowel movement irregularity	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Taste disorder	○	○	○

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