YGZ-55867-20589

4 vaccinations 9 coded responses 41 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 200 / DC
Registered: 2021-03-11

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Free text: Interrupted sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Site: Pain · Headache

Free text: My headache is likely unrelated today as I get migraines and it feels more like a migraine than the headache I had the other day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Migraine — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Headache is likely an unrelated migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Headache · Be unable to work

Free text: Still have a bad migraine that I suspect is unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work

Free text: I really dont know whether this migraine is related to the vaccine or not, but it is of longer duration than my usual migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Migraine — Feeling: Poor · Headache

Free text: Migraine continues and it is very unusual for me to have one lasting this long

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
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
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — day 7, dose 3
MedDRA: Headache — Feeling: Poor · Headache · Be unable to work or attend school

Free text: Headache may be migraine unrelated to vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Persistent migraine. I am prone to migraines already and I just went off birth control so it may be that, but I recall having a cycle of migraines like this starting a week or so after my second dose too so that is why I am reporting it now.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — day 35, dose 3
MedDRA: Adnexa uteri pain, Heavy menstrual bleeding, Ovarian cyst, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Gynecologicalheavy period with suspected ovarian cyst pain. Likely related to going off birth control/existing PCOS rather than vaccine. · Healthcare visit (other): Awaiting appointment in January (my provider was fully booked)

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-12-08
Call 1 — Could Not Reach Participant
2021-12-13
Call 2 — Could Not Reach Participant
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-07
Dose 4 — Moderna
2022-09-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-05
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-11-02	Moderna	No
4	2022-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Interrupted sleep

2021-03-13

Systemic reaction (other): My headache is likely unrelated today as I get migraines and it feels more like a migraine than the headache I had the other day

2021-03-14

Systemic reaction (other): Headache is likely an unrelated migraine

2021-03-15

Systemic reaction (other): Still have a bad migraine that I suspect is unrelated

2021-03-16

Systemic reaction (other): I really dont know whether this migraine is related to the vaccine or not, but it is of longer duration than my usual migraines

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Migraine continues and it is very unusual for me to have one lasting this long

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Headache may be migraine unrelated to vaccine

Release 10 — day 14, dose 3

2021-11-16

Symptoms: Persistent migraine. I am prone to migraines already and I just went off birth control so it may be that, but I recall having a cycle of migraines like this starting a week or so after my second dose too so that is why I am reporting it now.

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Gynecologicalheavy period with suspected ovarian cyst pain. Likely related to going off birth control/existing PCOS rather than vaccine.

Healthcare visit (other): Awaiting appointment in January (my provider was fully booked)

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	Unevaluable event	·	·	✓
SD	Adnexa uteri pain	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Migraine	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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