YK8-13067-29570

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 3 call cases

Sex: —
Age at first dose: 41-45
ZIP prefix: 212 / MD
Registered: 2021-01-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

7VH-19531-25911 Child or adolescent in my care · Female · 2021-12-02

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed mood, Fatigue, Irritability — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irritability, depressed mood, likely connected to fatigue

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

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence, Muscle spasms — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Cramping, Lots of gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Some very mild GI discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Lots of abdominal gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Good

Free text: Gas

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

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Flatulence — Feeling: Good

Free text: Abdominal discomfort, gas that I had previously minimized

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Abdominal distension, Food allergy, Muscle spasms — Feeling: Good

Free text: Increased sensitivity to garlic, onions. GI discomfort, cramping, bloating,etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Faeces soft, Fatigue, Gastrointestinal disorder, Headache, Musculoskeletal stiffness, Office visit, Pain, Respiratory tract 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

Free text: Symptoms: Chest congestion, stiffness, body aches, fatigue, GI symptoms like soft stools over past month, headaches, at times shortness of breath · Healthcare visit (other): Urgent Care visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 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 · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-10	priority 2/3
2022-02-04	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Irritability, depressed mood, likely connected to fatigue

2021-01-10

Systemic reaction (other): Cramping, Lots of gas

2021-01-12

Systemic reaction (other): Some very mild GI discomfort

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Lots of abdominal gas

2021-02-09

Systemic reaction (other): Gas

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Abdominal discomfort, gas that I had previously minimized

Release 6 — day 42, dose 2

2021-03-19

Symptoms: Increased sensitivity to garlic, onions. GI discomfort, cramping, bloating,etc

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Chest congestion, stiffness, body aches, fatigue, GI symptoms like soft stools over past month, headaches, at times shortness of breath

Healthcare visit (other): Urgent Care visit

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	Office visit	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Faeces soft	·	·	✓
SD	Fatigue	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Food allergy	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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