YJV-15285-10488

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 871 / NM
Registered: 2021-01-05

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-31
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Heaviness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased shortness of breath, lingering cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — day 21, dose 1
MedDRA: Chest discomfort, Chest pain, Dyspnoea, Fatigue, Influenza like illness — 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: Increased chest pain and discomfort, labored breathing, fatigue, flu-like symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 21, dose 1
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)
2021-01-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Body temperature increased, Fatigue, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase chest congestion, slight increase in temperature, sore throat, headache, fatigue, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 35, dose 2
MedDRA: Chest pain — Feeling: Fair

Free text: Bilateral dart like chest pains lasting for approximately 5-10 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Labored breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-07
Call 1 — Left Voicemail
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic headache; pressured breathing; fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	priority 2/3
2021-01-06	priority 2/3
2021-01-07	priority 2/3
2021-01-14	priority 2/3
2021-01-21	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Heaviness in chest

2021-01-06

Systemic reaction (other): Chest pressure

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Chest congestion

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Increased shortness of breath, lingering cough

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Increased chest pain and discomfort, labored breathing, fatigue, flu-like symptoms.

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Increase chest congestion, slight increase in temperature, sore throat, headache, fatigue, body aches

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Bilateral dart like chest pains lasting for approximately 5-10 min.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Labored breathing

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Chronic headache; pressured breathing; fatigue

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	Body temperature increased	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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