YGR-20198-29196

3 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 16-20
ZIP prefix: 582 / ND
Registered: 2021-03-13

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

2021-03-12
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fibromyalgia — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Nausea

Free text: Fibromyalgia might cause the joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Urticaria — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Full body itch with some hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Pruritus, Rash, Rash macular, Self-medication, Urticaria — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: Full body hives and rash. Hive and itch being controlled by Benadryl but there are still splotchy rashes on both arms and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Rash, Urticaria — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, diarrhea, rash and hives worsened but calming down now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Almost fainted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feeling faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Presyncope, Urticaria — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Hives on back and arms, lightheadedness and feeling faint when standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Abdominal pain

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Abdominal discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Constipation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Abdominal pain and Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Call 1 — Left Voicemail
2022-07-26
Dose 3 — Moderna
2022-10-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna
3	2022-07-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Fibromyalgia might cause the joint pain

2021-03-18

Systemic reaction (other): Full body itch with some hives

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Full body hives and rash. Hive and itch being controlled by Benadryl but there are still splotchy rashes on both arms and back

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Fatigue, diarrhea, rash and hives worsened but calming down now.

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Almost fainted

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Feeling faint

2021-04-11

Systemic reaction (other): Hives on back and arms, lightheadedness and feeling faint when standing

2021-04-12

Systemic reaction (other): Constipation

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Abdominal discomfort

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Abdominal pain and Constipation

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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