YGV-19149-03778

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 049 / ME
Registered: 2021-03-19

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

2021-03-17
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Shot down to elbow - elbow very painful today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 1
MedDRA: Injection site pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in the arm - top of arm/elbow area. Started after the shot and its sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Epicondylitis — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Developed Tennis elbow from 1st Vaccination but dr said do 2nd in same arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Epicondylitis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow from 1st shot and 2nd made worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Epicondylitis — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Epicondylitis, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow - still sore and swollen from 1st shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Epicondylitis, Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow from first shot. Second caused more swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Epicondylitis — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Tennis elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Headache, Laryngitis, Oral herpes, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection Laryngitis Headaches Cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-07	Successful 2022-02-08	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14	Successful 2022-04-19	Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Shot down to elbow - elbow very painful today

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Pain in the arm - top of arm/elbow area. Started after the shot and its sore.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Developed Tennis elbow from 1st Vaccination but dr said do 2nd in same arm.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Tennis elbow

2021-04-16

Systemic reaction (other): Tennis elbow from 1st shot and 2nd made worse

2021-04-17

Systemic reaction (other): Tennis elbow

2021-04-19

Systemic reaction (other): Tennis elbow - still sore and swollen from 1st shot.

2021-04-20

Systemic reaction (other): Tennis elbow from first shot. Second caused more swelling

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Tennis elbow

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Sinus infection Laryngitis Headaches Cold sores

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	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Oral herpes	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Epicondylitis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Swelling	✓	✓	✓

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