YJW-82237-56714

2 vaccinations 8 coded responses 13 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 442 / OH
Registered: 2021-04-23

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Moderna
2021-04-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — day 14, dose 1
MedDRA: Cough, Headache, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough sinus drainage headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 1
MedDRA: Balance disorder, Dizziness, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Loss of balance, dizziness, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2021-05-24
Dose 2 — Moderna
2021-06-04
Survey response — day 7, dose 2
MedDRA: Loss of personal independence in daily activities, Mobility decreased, Pain in extremity, Peripheral swelling — Feeling: Poor · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): In the last month my hands and fingers, especially my left, swell and hurt so badly i can't use them · Healthcare visit (other): None couldn't drive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 7, 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)
2021-06-07
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Excruciating joints getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 21, dose 2
MedDRA: Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left side more painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — day 28, dose 2
MedDRA: Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Not that it matters as No one even reads this

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — day 28, 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

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-08-25
Survey response — 3 months, dose 2
MedDRA: Pain — 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: Since vaccines i have gone progressively down hill. My left side is so painful i sorely go to the er if i could afford it. I wish i would have never got vaccinated

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 3 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

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-11-23
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Pulmonary congestion — 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, Outpatient clinic or urgent care clinic visit

Free text: Store threat lung congestion headache severe cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — 6 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 · 1 call case(s)
2021-11-24
Call 1 — Could Not Reach Participant
2021-11-24
Callback requested for
01:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-04	Unsuccessful
2021-06-23	Unsuccessful
2021-08-25	Unsuccessful
2021-11-23	Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-05-09

Symptoms: Cough sinus drainage headache

Release 8 — day 21, dose 1

2021-05-14

Symptoms: Loss of balance, dizziness, nausea

Release 8 — day 7, dose 2

2021-06-04

Systemic reaction (other): In the last month my hands and fingers, especially my left, swell and hurt so badly i can't use them

Healthcare visit (other): None couldn't drive

Release 8 — day 14, dose 2

2021-06-07

Symptoms: Excruciating joints getting worse

Release 9 — day 21, dose 2

2021-06-14

Symptoms: Left side more painful

Release 9 — day 28, dose 2

2021-06-23

Symptoms: Not that it matters as No one even reads this

Release 9 — 3 months, dose 2

2021-08-25

Symptoms: Since vaccines i have gone progressively down hill. My left side is so painful i sorely go to the er if i could afford it. I wish i would have never got vaccinated

Release 10 — 6 months, dose 2

2021-11-23

Symptoms: Store threat lung congestion headache severe cough

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
HCVO	Loss of personal independence in daily activities	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pulmonary congestion	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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