YGY-25807-91107

1 vaccination 9 coded responses 15 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 627 / IL
Registered: 2021-02-16

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Moderna
2021-02-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Additional swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Neck pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have swollen lymph nodes/neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 1
MedDRA: Office visit, Swelling, Swelling face — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Left side face & neck swelling · Healthcare visit (other): In person dr appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 28, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — day 35, dose 1
MedDRA: Office visit, Swelling, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swollen neck & left side of my face is very swollen. Will have CT of head & neck March 31st. · Healthcare visit (other): Dr visit with blood work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Swelling face, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Increased facial swelling & worsening vision · Healthcare visit (other): And Upcoming appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — 3 months, dose 1
MedDRA: Asthenopia, Hypoaesthesia, Paraesthesia, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blurred vision, eye fatigue, continued left side numbness & tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-12-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Successful	Participant prefers to complete VAERS report online
2021-03-23	Successful	Participant prefers to complete VAERS report online
2021-03-30	Successful	Participant prefers to complete VAERS report online
2021-05-18	Successful 2021-12-10	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Swollen lymph nodes in neck

2021-02-20

Systemic reaction (other): Swollen lymph nodes in neck

2021-02-21

Systemic reaction (other): Swollen lymph nodes in neck

2021-02-22

Systemic reaction (other): Additional swollen lymph nodes in neck

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Still have swollen lymph nodes/neck pain

Release 5 — day 28, dose 1

2021-03-18

Symptoms: Left side face & neck swelling

Healthcare visit (other): In person dr appointment

Release 6 — day 35, dose 1

2021-03-23

Symptoms: Swollen neck & left side of my face is very swollen. Will have CT of head & neck March 31st.

Healthcare visit (other): Dr visit with blood work

Release 6 — day 42, dose 1

2021-03-30

Symptoms: Increased facial swelling & worsening vision

Healthcare visit (other): And Upcoming appointment

Release 8 — 3 months, dose 1

2021-05-18

Symptoms: Blurred vision, eye fatigue, continued left side numbness & tingling

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenopia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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