YGM-24456-82389

2 vaccinations 14 coded responses 27 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 546 / WI
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: Nausea last night. Better after eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good · Fatigue or tiredness

Free text: For couple days, blood sugars were 185. Better today though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Had severe chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 28, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Feeling tired past two days. Getting 2 Nd vaccine Thursday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Felt very slight nausea over night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Brief chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Headache was sporadic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Good · Chills

Free text: Occasionally since first shot. Couldnt get warm. Not sure if that qualifies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Sporadic headache. Short lived

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joints very sore. Not sure if vaccination or just weather.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 28, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Joints and muscles real sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Call 1 — Left Voicemail
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nausea, Tinnitus — Feeling: Poor

Free text: Super tired. Nausea some days. Ears ringing loud.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Pain, Parkinson's disease — 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: Came down with Parkinson's. On carbidopa/levodopa 3 times a day. Horrendous pain also.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-03-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-22	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-11	Successful 2022-03-15	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Nausea last night. Better after eating.

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): For couple days, blood sugars were 185. Better today though

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Had severe chest pain.

Release 5 — day 28, dose 1

2021-03-08

Symptoms: Feeling tired past two days. Getting 2 Nd vaccine Thursday.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Felt very slight nausea over night

2021-03-14

Systemic reaction (other): Brief chest pain

2021-03-15

Systemic reaction (other): Headache was sporadic.

2021-03-16

Systemic reaction (other): Occasionally since first shot. Couldnt get warm. Not sure if that qualifies.

2021-03-17

Systemic reaction (other): Sporadic headache. Short lived

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Joints very sore. Not sure if vaccination or just weather.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Joints and muscles real sore.

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Very tired

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Super tired. Nausea some days. Ears ringing loud.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: Came down with Parkinson's. On carbidopa/levodopa 3 times a day. Horrendous pain also.

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	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Parkinson's disease	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓

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