YLB-13281-74325

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 597 / MT
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Chiropractic, Dizziness, Headache, Hypoaesthesia, Nerve compression — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Painful pinched nerve in neck and likely associated arm numbness (not shot arm) and likely associated dizziness. Headaches · Healthcare visit (other): Chiropracter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Headache, Joint pains, Nausea · Get care from a doctor or other healthcare professional

Free text: Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state — Feeling: Good

Free text: Mental confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Large joint pain for about 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-29
Call 1 — Left Voicemail
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Abdominal pain

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain in wrists and knuckles

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 21, dose 3
MedDRA: Dyspepsia, Malaise, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Funcrional dyspepsia flare up - sick for about 40 hours at them moment

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 42, dose 3
MedDRA: Uterine pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Uterine pain post menses

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Some sniffles, rinny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — 6 months, dose 3
MedDRA: Chest pain, Cough, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain, cough, sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-11-08
Survey response — 12 months, dose 3
MedDRA: Bronchitis, Sinusitis — Feeling: Good · Be unable to work or attend school

Free text: Bronchitis and sinus infection in September

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-04	Successful	Participant prefers to complete VAERS report online
2021-02-15	Successful	Participant prefers to complete VAERS report online
2022-05-09	Successful 2022-05-10	Participant prefers to complete VAERS report online

Free text

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Painful pinched nerve in neck and likely associated arm numbness (not shot arm) and likely associated dizziness. Headaches

Healthcare visit (other): Chiropracter

Release 4 — days 1–6 daily, dose 2

2021-02-15

Healthcare visit (other): Chiropractor

2021-02-17

Systemic reaction (other): Mental confusion

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Large joint pain for about 2 days

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Joint pain in wrists and knuckles

Release 10 — day 21, dose 3

2021-11-29

Symptoms: Funcrional dyspepsia flare up - sick for about 40 hours at them moment

Release 10 — day 42, dose 3

2021-12-20

Symptoms: Uterine pain post menses

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Some sniffles, rinny nose

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: Chest pain, cough, sinus congestion

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: Bronchitis and sinus infection in September

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	Chiropractic	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nerve compression	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Uterine pain	·	·	✓
SRO	Confusional state	✓	✓	✓

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