YKV-33685-13526

2 vaccinations 12 coded responses 19 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 910 / CA
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia oral — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Numbness, tingling of tongue when immediately after receiving vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-01-14
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Survey response — day 0, dose 2
MedDRA: Fatigue, Renal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Free text: My kidneys are hurting, I feel very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I feel very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat when drinking cold drinks with ice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Myalgia, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, tired, muscle aches and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat every other day.

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

Free text: For a while I was feeling electricity on my face , for about 3 weeks every day. I felt while walking was worst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Haemoptysis, Nasal congestion, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: CoVID symptoms, excrbody pain, joint pain , fever for more than5 days. Cough with blood, and stuffy nose.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	priority 2/3

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Numbness, tingling of tongue when immediately after receiving vaccine

Release 1 — day 7, dose 1

2021-01-14

Systemic reaction (other): Sore throat

Release 3 — day 0, dose 2

2021-02-04

Systemic reaction (other): My kidneys are hurting, I feel very tired

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): I feel very tired

2021-02-06

Systemic reaction (other): Dizzy

2021-02-07

Systemic reaction (other): Dizziness

2021-02-08

Systemic reaction (other): Dizzy

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Sore throat when drinking cold drinks with ice.

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Sore throat, tired, muscle aches and headache

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Sore throat every other day.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: For a while I was feeling electricity on my face , for about 3 weeks every day. I felt while walking was worst.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: CoVID symptoms, excrbody pain, joint pain , fever for more than5 days. Cough with blood, and stuffy nose.

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	Arthralgia	·	·	✓
SD	Electric shock sensation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haemoptysis	·	·	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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