YHU-26654-76023

4 vaccinations 10 coded responses 22 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 109 / NY
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea, Pyrexia — Feeling: Good · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Yesterday I missed check in I had fever nausea and bad headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
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 · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Pyrexia — Feeling: Poor · Be unable to work

Free text: 99-101.2 fevers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-09
Survey response — day 7, dose 2
MedDRA: Pyrexia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Continued Fevers everyday from 99 to 102

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — day 14, dose 2
MedDRA: Arthralgia, Cough, Dizziness, Fatigue, Pyrexia, Rash — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Fevers everyday coughing joint pain dizziness when I roll over in bed rash on my face fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, 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)
2021-02-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chest pain, Cough, Fatigue, Feeling abnormal, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, Fevers, Coughing, joint pain chest pain brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 28, dose 2
MedDRA: Chest pain, Cough, Feeling abnormal, Headache, Nausea — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Severe nausea coughing headaches chest pain brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 28, 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)
2021-03-09
Survey response — day 35, dose 2
MedDRA: Nausea — Feeling: Poor · 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: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
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)
2021-03-16
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 2 — Left Voicemail
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough sinus drainage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Dose 3 — Moderna
Co-administered: Shingles
2022-02-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-05
Dose 4 — Moderna
2022-04-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Survey response — day 42, dose 4
MedDRA: Asthenia, Headache, Memory impairment — 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 · Telehealth, virtual health, or email health consultation

Free text: No energy can't remember stuff headaches

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 42, dose 4
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 · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-05
Survey response — 3 months, dose 4
MedDRA: Pyrexia, Rhinorrhoea, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Yesterday fever ?? runny nose sleeping ? all day

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-05
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-10-22	Moderna	Shingles
4	2022-04-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	priority 2/3
2021-02-09	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-02-16	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-02	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-09	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Yesterday I missed check in I had fever nausea and bad headaches

Release 2 — day 21, dose 1

2021-01-26

Symptoms: 99-101.2 fevers

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): Continued Fevers everyday from 99 to 102

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Fevers everyday coughing joint pain dizziness when I roll over in bed rash on my face fatigue

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Fatigue, Fevers, Coughing, joint pain chest pain brain fog

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Severe nausea coughing headaches chest pain brain fog

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Nausea

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Cough sinus drainage

Release 11 — day 42, dose 4

2022-05-17

Symptoms: No energy can't remember stuff headaches

Release 12 — 3 months, dose 4

2022-07-05

Symptoms: Yesterday fever ?? runny nose sleeping ? all day

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	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Nausea	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Somnolence	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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