YKM-21158-03733

3 vaccinations 9 coded responses 32 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 295 / SC
Registered: 2021-04-03

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-02
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Sinus disorder — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nose very stopped up; some sinus issues like slight blood when blow nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness / off-balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, off-balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Confusion, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Off-balance, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: No energy; still off-balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Still off-balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-04
Dose 3 — Pfizer-BioNTech
2022-03-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Temp today is back down but was high the day after booster was 103, next day 101, today 98

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-03-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-03-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-03-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-03-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-01
Survey response — day 28, dose 3
MedDRA: Condition aggravated, Fatigue, Neck pain, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school

Free text: I don't think vaccine related, but I'm exhausted, in terrible pain, neck is hurting, popping/grinding like it never has before. It's most likely progression of my health issues

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2022-03-04	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Nose very stopped up; some sinus issues like slight blood when blow nose

2021-04-04

Systemic reaction (other): Dizziness / off-balance

2021-04-05

Systemic reaction (other): Brain fog, off-balance

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Confusion, dizziness

2021-05-03

Systemic reaction (other): Off-balance, dizziness

2021-05-04

Systemic reaction (other): No energy; still off-balance

2021-05-05

Systemic reaction (other): Still off-balance

Release 11 — days 1–6 daily, dose 3

2022-03-07

Systemic reaction (other): Temp today is back down but was high the day after booster was 103, next day 101, today 98

Release 11 — day 28, dose 3

2022-04-01

Symptoms: I don't think vaccine related, but I'm exhausted, in terrible pain, neck is hurting, popping/grinding like it never has before. It's most likely progression of my health issues

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	Condition aggravated	·	·	✓
SD	Fatigue	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Sinus disorder	✓	✓	✓

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