YKX-75067-72745

2 vaccinations 9 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 217 / MD
Registered: 2021-02-15

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

Timeline

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain · Muscle or body aches

Free text: extreme swelling of left foot, not sure if anything to do with shot? Seeing Dr in am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Gout, Office visit, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): left foot still very swollen, saw Dr (b)(6) this am, treating for gout, possible vaccine triggered?? · Healthcare visit (other): in person at Dr (b)(6) office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: swelling in foot has gone down considerably, Dr (b)(6) put me on anti inflammatoryRx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good

Free text: left foot still slightly swollen & sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: foot still somewhat swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: foot swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: sore left foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: rash appeared on top of feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-03
Call 1 — Left Voicemail
2022-03-15
Survey response — 12 months, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: sinus infection · Healthcare visit (other): dr office

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-17	Unsuccessful
2022-03-15	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): extreme swelling of left foot, not sure if anything to do with shot? Seeing Dr in am

2021-03-17

Systemic reaction (other): left foot still very swollen, saw Dr (b)(6) this am, treating for gout, possible vaccine triggered??

Healthcare visit (other): in person at Dr (b)(6) office

redacted (b)(6)

2021-03-18

Systemic reaction (other): swelling in foot has gone down considerably, Dr (b)(6) put me on anti inflammatoryRx

redacted (b)(6)

2021-03-19

Systemic reaction (other): left foot still slightly swollen & sore

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): foot still somewhat swollen

2021-03-21

Systemic reaction (other): foot swelling

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): sore left foot

Release 8 — day 42, dose 2

2021-04-26

Symptoms: rash appeared on top of feet

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: sinus infection

Healthcare visit (other): dr office

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	Rash	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Gout	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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