YLE-30213-56944

5 vaccinations 16 coded responses 48 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 701 / LA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Exercise tolerance decreased — Feeling: Good · Site: Pain

Free text: A little more difficult to do my regular exercise protocol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Exercise tolerance decreased — Feeling: Fair · Fatigue or tiredness

Free text: Lower exercise tolerance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

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

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

Adult check-in
2021-01-28
Survey response — day 28, dose 1
MedDRA: Asthenia — Feeling: Fair

Free text: Getting weaker

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Normal temp 97.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Good · Joint pains

Free text: I continue to feel much weaker than I did before, just in general. I can get around all right but I just dont have the strength I had before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Survey response — day 28, dose 2
MedDRA: Asthenia, Nasopharyngitis — Feeling: Fair

Free text: Weaker. Cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Survey response — day 42, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Tired, weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: Cough, sore throat.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
2022-02-01
Survey response — 12 months, dose 2
MedDRA: Accident, Hospitalisation, Occupational therapy, Physiotherapy, Rehabilitation therapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Severe accident requiring hospitalization, rehab and OP PT. · Healthcare visit (other): Rehab

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-02
Call 1 — Left Voicemail
2022-04-26
Dose 4 — Moderna
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Survey response — day 35, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Increased joint pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: COVID-19, Feeling abnormal — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Felt bad with COVID

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-05
Dose 5 — Moderna
2022-10-25
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-02
Survey response — day 28, dose 5
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Tied, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — day 35, dose 5
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — day 42, dose 5
MedDRA: Arthralgia, Arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Arthritis, hip pain.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call 2 — Left Voicemail
2023-01-04
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Medical counselling, Oropharyngeal pain, Pyrexia, Sinusitis, Tracheitis — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-02-01	Moderna
3	2021-11-05	Moderna	No
4	2022-04-26	Moderna	No
5	2022-10-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-01	Successful 2022-07-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-26	Successful 2022-07-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-17	Unsuccessful
2023-04-07	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): A little more difficult to do my regular exercise protocol.

2021-01-04

Systemic reaction (other): Lower exercise tolerance

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Getting weaker

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Normal temp 97.

2021-02-04

Systemic reaction (other): Weakness

2021-02-07

Systemic reaction (other): I continue to feel much weaker than I did before, just in general. I can get around all right but I just dont have the strength I had before.

Release 4 — day 28, dose 2

2021-03-01

Symptoms: Weaker. Cold.

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Tired, weak.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Cough, sore throat.

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Severe accident requiring hospitalization, rehab and OP PT.

Healthcare visit (other): Rehab

Release 11 — day 35, dose 4

2022-05-31

Symptoms: Increased joint pain.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Felt bad with COVID

Release 12 — day 28, dose 5

2022-11-02

Symptoms: Tied, joint pain

Release 12 — day 35, dose 5

2022-11-09

Symptoms: Joint and muscle pain.

Release 12 — day 42, dose 5

2022-11-17

Symptoms: Arthritis, hip pain.

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	Medical counselling	·	·	✓
HCVO	Rehabilitation therapy	·	·	✓
SD	Accident	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Occupational therapy	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Physiotherapy	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rehabilitation therapy	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tracheitis	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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