YLC-96623-56948

4 vaccinations 8 coded responses 53 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Body temperature increased, Headache — Feeling: Fair

Free text: Headaches almost every day, slight fevers 99.0-99.7

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with sinus infection · Healthcare visit (other): Appointment with my pcp

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-22
Dose 3 — Moderna
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Survey response — day 21, dose 3
MedDRA: Body temperature increased, Dyspnoea, Headache, Nausea, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Harder time breathing, nauseated, headache mild fever no higher than 99.8. Sinus infection on antibiotics currently.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair

Free text: Stomache pain and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful stomache pains for 5 to 6 days with headache and extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Body temperature increased, Dizziness, Dysgeusia, Dysphagia, Fatigue, Headache, Nausea — Feeling: Poor

Free text: Dizzy, lightheaded. Nauseated,headache every day, bad taste in mouth, hard to swollow at times, temp up to 99.8, so very tired nap 2 to 3 hrs up to twice a day and all is for last couple weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Dose 4 — Moderna
2022-05-17
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-28
Survey response — day 42, dose 4
MedDRA: Abdominal pain upper, Body temperature increased, Decreased appetite, Diarrhoea, Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pains, nauseous, 99.9 temperature, liquid stools, not hungry but when I eat stomach oains get worse, very very tired.

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-17
Survey response — 12 months, dose 4
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna
3	2021-11-22	Moderna	No
4	2022-05-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-14	Unsuccessful

Free text

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Headaches almost every day, slight fevers 99.0-99.7

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Diagnosed with sinus infection

Healthcare visit (other): Appointment with my pcp

Release 10 — day 21, dose 3

2021-12-13

Symptoms: Harder time breathing, nauseated, headache mild fever no higher than 99.8. Sinus infection on antibiotics currently.

Release 10 — day 35, dose 3

2021-12-27

Symptoms: Stomache pain and diarrhea

Release 10 — day 42, dose 3

2022-01-03

Symptoms: Painful stomache pains for 5 to 6 days with headache and extreme fatigue.

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Dizzy, lightheaded. Nauseated,headache every day, bad taste in mouth, hard to swollow at times, temp up to 99.8, so very tired nap 2 to 3 hrs up to twice a day and all is for last couple weeks.

Release 12 — day 42, dose 4

2022-06-28

Symptoms: Stomach pains, nauseous, 99.9 temperature, liquid stools, not hungry but when I eat stomach oains get worse, very very tired.

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 pain upper	·	·	✓
SD	Body temperature increased	✓	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Nausea	·	·	✓
SD	Rash	·	·	✓
SD	Sinusitis	·	·	✓

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