YHC-51939-36349

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 194 / PA
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Mild tenderness when I lift my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion, Sneezing — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sneezing, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Survey response — day 21, dose 1
MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Wheezing — Feeling: Fair

Free text: Cough, congestion, sore throat, wheezing, headache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-04
Survey response — day 0, dose 2
MedDRA: SARS-CoV-2 test negative, Sinus congestion, Sinusitis — Feeling: Good · Fever

Free text: Congestion from sinus infection. Taking Augmentin since 2/1. This is what caused symptoms. Had a Covid test on 1/30 which was negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mental fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Feeling abnormal, Feeling cold, Nasopharyngitis, Paraesthesia — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mental fog, arm tingling, cold waves

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 7, dose 2
MedDRA: Sinusitis — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ongoing sinus infection, improving slowly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, cough, chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain, Productive cough, Pyrexia, Sinusitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Productive cough, sore throat, low grade fever. Sinus infection from 1/31 never fully got better. Now on prednisone and Azelastine nasal spray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 42, dose 2
MedDRA: Cough, Musculoskeletal stiffness, Respiratory tract congestion — Feeling: Fair

Free text: Cough, chest congestion, stiff muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-19
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mild aches fever headache and fatigue lasting 4 days

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Colonic abscess, Diverticulitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Diverticulitis with abscess

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-07
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-10	priority 2/3
2021-02-08	Successful	Does not wish to fill out VAERS report
2021-03-11	Successful	Does not wish to fill out VAERS report
2021-08-05	Successful	Does not wish to fill out VAERS report
2022-02-04	Successful 2022-02-07	Does not wish to fill out VAERS report

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Mild tenderness when I lift my arm

2021-01-10

Systemic reaction (other): Sneezing, congestion

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Cough, congestion, sore throat, wheezing, headache, fatigue

Release 3 — day 0, dose 2

2021-02-04

Systemic reaction (other): Congestion from sinus infection. Taking Augmentin since 2/1. This is what caused symptoms. Had a Covid test on 1/30 which was negative

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Mental fog

2021-02-08

Systemic reaction (other): Mental fog, arm tingling, cold waves

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Ongoing sinus infection, improving slowly

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Fatigue, cough, chest congestion

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Productive cough, sore throat, low grade fever. Sinus infection from 1/31 never fully got better. Now on prednisone and Azelastine nasal spray

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Cough, chest congestion, stiff muscles

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Mild aches fever headache and fatigue lasting 4 days

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Diverticulitis with abscess

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	Colonic abscess	·	·	✓
SD	Cough	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	○
SRO	Pain	○	○	○
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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