YHX-47366-37023

4 vaccinations 10 coded responses 33 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 488 / MI
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness starting 3 hours post shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling

Free text: Itching but no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — day 14, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Constant ringing in the ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Arthralgia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tinnitus has been present since receiving the second Covid shot. Still having serious knee and hip pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 35, dose 2
MedDRA: Arthralgia, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still getting sinus headaches and strong joint pain, especially of knees and hips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Body temperature increased, Chills, Pain, Pyrexia, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: High temp 103.8, chills, fever, body aches, joint pain, sinus headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-18
Dose 3 — Moderna
2021-10-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-19
Survey response — 6 months, dose 3
MedDRA: Fatigue, Pre-existing disease, Rheumatoid arthritis, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · 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: Upper respiratory infection which persisted 2 weeks. Had COVID test which turned out negative. Flare up of RA and continued fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-04-07
Dose 4 — Moderna
2022-05-14
Survey response — day 35, dose 4
MedDRA: Arthralgia, Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, joint pain, chills but no fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Survey response — 3 months, dose 4
MedDRA: Knee operation — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had surgery on my knee, not related to COVID .

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-07-08
Call 2 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-09-18	Moderna	No
4	2022-04-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-19	Unsuccessful
2022-07-07	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Dizziness starting 3 hours post shot

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Itching but no rash

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): High blood pressure

Release 6 — day 14, dose 2

2021-03-25

Symptoms: Constant ringing in the ears

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Tinnitus has been present since receiving the second Covid shot. Still having serious knee and hip pain.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Still getting sinus headaches and strong joint pain, especially of knees and hips

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: High temp 103.8, chills, fever, body aches, joint pain, sinus headache

Release 11 — 6 months, dose 3

2022-03-19

Symptoms: Upper respiratory infection which persisted 2 weeks. Had COVID test which turned out negative. Flare up of RA and continued fatigue.

Release 11 — day 35, dose 4

2022-05-14

Symptoms: Fatigue, joint pain, chills but no fever

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Had surgery on my knee, not related to COVID .

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	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Knee operation	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus headache	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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