YHZ-15168-06515

5 vaccinations 18 coded responses 46 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 812 / CO
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Befuddled at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Hypersomnia, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Mentation is better than yesterday. Had trouble focusing yesterday . Neck and back were stiff, but not as bad or painful as yesterday. Slept a lot today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extremely tired this morning. Could hardly function while doing my morning figure skating. However, this afternoon my strength rallied, and I skate-skied for 2 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Ive found that during the last week, whenever I did any of my activities (skating, ballet, skiing) I became very very sore, which is unusual. This week the unusual soreness has stopped. Ive been exercising without pain!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Survey response — day 0, dose 2
MedDRA: Concussion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · 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: Concussion 11 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Bradyphrenia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mentation is a bit slow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Mental impairment — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mentation is still slow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Bradyphrenia, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My brain is pretty slow today. I felt befuddled during physical exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still experiencing brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Feeling abnormal, Myalgia — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Brain fog is gone!! However, I get really sore muscles after my usual activities. This also happened after my first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-02
Dose 3 — Moderna
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Asthenia, Cough, Feeling abnormal, Nasopharyngitis, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very bad head cold. Cough , sinus congestion, felt bad, no energy.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Dose 4 — Moderna
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion, Sinus congestion, Sneezing, Thirst — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus congestion, sneezing, VERY thirsty all yesterday evening and through the night

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Feeling abnormal, Headache, Nasopharyngitis, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have an awful cold. Coughing, sneezing, runny nose, runny eyes, sinus congestion and headache. . I feel terrible.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lacrimation increased, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus congestion, coughing, sneezing, runny nose, runny eyes

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Eye irritation, Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing sneezing burning eyes runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Sinus congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus congestion, residual coughing

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Productive cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Residual coughing up phlegm

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — day 7, dose 4
MedDRA: Productive cough, Sinus congestion — Feeling: Fair · Fatigue or tiredness

Free text: Residual coughing up phlegm , mild sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Moderna
2022-10-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-11-02	Moderna	No
4	2022-04-26	Moderna	No
5	2022-09-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Befuddled at times

2021-01-23

Systemic reaction (other): Mentation is better than yesterday. Had trouble focusing yesterday . Neck and back were stiff, but not as bad or painful as yesterday. Slept a lot today.

2021-01-25

Systemic reaction (other): Extremely tired this morning. Could hardly function while doing my morning figure skating. However, this afternoon my strength rallied, and I skate-skied for 2 hours.

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Ive found that during the last week, whenever I did any of my activities (skating, ballet, skiing) I became very very sore, which is unusual. This week the unusual soreness has stopped. Ive been exercising without pain!

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): Concussion 11 days ago

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Mentation is a bit slow

2021-02-20

Systemic reaction (other): Mentation is still slow

2021-02-22

Systemic reaction (other): My brain is pretty slow today. I felt befuddled during physical exercise.

2021-02-23

Systemic reaction (other): Still experiencing brain fog

2021-02-24

Systemic reaction (other): Brain fog is gone!! However, I get really sore muscles after my usual activities. This also happened after my first vaccination.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Very bad head cold. Cough , sinus congestion, felt bad, no energy.

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Sinus congestion, sneezing, VERY thirsty all yesterday evening and through the night

2022-04-28

Systemic reaction (other): I have an awful cold. Coughing, sneezing, runny nose, runny eyes, sinus congestion and headache. . I feel terrible.

2022-04-29

Systemic reaction (other): Sinus congestion, coughing, sneezing, runny nose, runny eyes

2022-04-30

Systemic reaction (other): Coughing sneezing burning eyes runny nose

2022-05-01

Systemic reaction (other): Sinus congestion, residual coughing

2022-05-02

Systemic reaction (other): Residual coughing up phlegm

Release 11 — day 7, dose 4

2022-05-03

Systemic reaction (other): Residual coughing up phlegm , mild sinus congestion

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	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Sinus congestion	·	·	✓
SRO	Bradyphrenia	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Concussion	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Eye irritation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Lacrimation increased	·	·	✓
SRO	Mental impairment	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Thirst	·	·	✓

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