YLF-20962-80123

5 vaccinations 28 coded responses 45 check-ins 27 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 310 / GA
Registered: 2021-03-22

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

Timeline

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: Taste disorder — Feeling: Fair · Site: Pain

Free text: Odd sweet taste in mouth for a few hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Dehydration, Fibromyalgia, Hand-eye coordination impaired, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Temporary poor hand-eye coordination, sweating, mild dehydration, seems like a Fibromyalgia flare up response

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Coordination abnormal, Dizziness, Migraine — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feels like a migraine, uncoordinated, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cognitive disorder — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Cognitive difficulty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cognitive disorder, Coordination abnormal, Hyperhidrosis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe sweating, mild cognitive impairment, uncoordinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 7, dose 1
MedDRA: Cognitive disorder — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Mildly uncoordinated, mild cognitive difficulty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 14, dose 1
MedDRA: Chills, Diarrhoea, Dizziness, Feeling abnormal, Hyperhidrosis, Lethargy, Migraine, Muscle spasms, Respiratory tract congestion, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe muscle cramps, chills and sweating for no reason, severe diarrhea, interrupted sleep at night; symptoms possibly from chronic conditions: lethargy, head congestion, migraines, dizzy spells, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Dizziness, Hyperhidrosis, Incontinence, Sneezing — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Slight incontinence when sneezing, moderate sweating and dizziness, weird dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration, Dizziness, Epistaxis, Feeling abnormal, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate brain fog and dizziness, mild dehydration and nose bleed (note about feeling feverish: my typical temperature is 97F, so 98F for me is like an average person experiencing 99F)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Cognitive disorder, Coordination abnormal, Cough, Dizziness, Hyperhidrosis, Migraine — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe eyelid twitch, migraine, and sweating; moderate dizziness, and cognitive and coordination problems; mild cough (possibly related to pollen allergies)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Coordination abnormal, Feeling abnormal, Migraine, Muscle spasms — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe migraine and foot cramps, moderate brain fog and coordination problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cognitive disorder — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate cognitive difficulty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Hyperhidrosis, Muscle spasms — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe foot cramps and sweat, moderate abdominal cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 2
MedDRA: Brain fog, Hyperhidrosis, Insomnia — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe brain fog, insomnia, and sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 21, dose 2
MedDRA: Chills, Cough, Dehydration, Diarrhoea, Hyperhidrosis, Injection site pain, Migraine, Nausea, Pain, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe migraine, severe diarrhea, severe sinus congestion and draining, moderate nausea, moderate body aches, moderate sweating, mild cough, mild dehydration, mild chills, mild tenderness at location of vaccine injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate diarrhea and abdominal cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 35, dose 2
MedDRA: Coordination abnormal, Diarrhoea, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderately severe diarrhea, severe migraines, severe fatigue, moderate lack of coordination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Brain fog, Fatigue, Insomnia, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia, fatigue, migraines, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Surgery — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rapid growth of pre-existing noncancerous thyroid nodules requiring surgery 2 July 2021 followed by expected symptoms during postoperative recovery

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Allergy to arthropod bite, Dyspnoea, Hypersensitivity, Migraine, Muscle spasms, Pre-existing disease, Skin burning sensation, Unevaluable event, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased allergic reaction to pollen (nasal/sinus) and insect bites (burning welts and difficulty breathing from sand flies), increased length of migraine attacks (current one is over a month duration), muscle cramps

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Dose 3 — Moderna
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intractable migraine

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Dose 4 — Moderna
2022-05-01
Survey response — day 7, dose 4
MedDRA: Discharge, Nasal congestion, Sinus congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sinus and nasal congestion and draining

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 14, dose 4
MedDRA: Cluster headache, Fatigue, Hypersensitivity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, cluster headaches, increased allergic reactions

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-28
Survey response — day 35, dose 4
MedDRA: Arthralgia, Defaecation urgency, Micturition urgency, Muscle spasms, Pain, Pain in extremity, Pelvic pain, Pre-existing disease — Feeling: Fair

Free text: Mild pelvic pain radiating to hips that becomes severe with the need to urinate or evacuate bowels Muscle cramps in legs and hands, mild to moderately painful Both maybe related to fibromyalgia

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-23
Survey response — 3 months, dose 4
MedDRA: Fatigue, Respiratory symptom, Upper respiratory tract infection bacterial — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue for several weeks, bacterial upper respiratory infection with lingering symptoms for 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Dose 5 — Moderna
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-22
Survey response — 6 months, dose 4
MedDRA: Ophthalmic migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ocular migraines

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-01
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Survey response — day 28, dose 5
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Difficulty sleeping, excessive fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-29
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-17
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-18
Survey response — 6 months, dose 5
MedDRA: Abdominal pain, Condition aggravated, Dizziness, Fatigue, Hypersensitivity, Migraine, Nausea, Physiotherapy, Pre-existing disease, Tachycardia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-18
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-20	Moderna	No
4	2022-04-23	Moderna	No
5	2022-10-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-04-18	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Odd sweet taste in mouth for a few hours

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Temporary poor hand-eye coordination, sweating, mild dehydration, seems like a Fibromyalgia flare up response

2021-03-25

Systemic reaction (other): Feels like a migraine, uncoordinated, dizzy

2021-03-27

Systemic reaction (other): Cognitive difficulty

2021-03-28

Systemic reaction (other): Severe sweating, mild cognitive impairment, uncoordinated

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Mildly uncoordinated, mild cognitive difficulty

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Severe muscle cramps, chills and sweating for no reason, severe diarrhea, interrupted sleep at night; symptoms possibly from chronic conditions: lethargy, head congestion, migraines, dizzy spells, brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Slight incontinence when sneezing, moderate sweating and dizziness, weird dreams

2021-04-21

Systemic reaction (other): Moderate brain fog and dizziness, mild dehydration and nose bleed (note about feeling feverish: my typical temperature is 97F, so 98F for me is like an average person experiencing 99F)

2021-04-22

Systemic reaction (other): Severe eyelid twitch, migraine, and sweating; moderate dizziness, and cognitive and coordination problems; mild cough (possibly related to pollen allergies)

2021-04-23

Systemic reaction (other): Severe migraine and foot cramps, moderate brain fog and coordination problems

2021-04-24

Systemic reaction (other): Moderate cognitive difficulty

2021-04-25

Systemic reaction (other): Severe foot cramps and sweat, moderate abdominal cramping

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Severe brain fog, insomnia, and sweating

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Severe migraine, severe diarrhea, severe sinus congestion and draining, moderate nausea, moderate body aches, moderate sweating, mild cough, mild dehydration, mild chills, mild tenderness at location of vaccine injection

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Moderate diarrhea and abdominal cramps

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Moderately severe diarrhea, severe migraines, severe fatigue, moderate lack of coordination

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Insomnia, fatigue, migraines, brain fog

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Rapid growth of pre-existing noncancerous thyroid nodules requiring surgery 2 July 2021 followed by expected symptoms during postoperative recovery

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Increased allergic reaction to pollen (nasal/sinus) and insect bites (burning welts and difficulty breathing from sand flies), increased length of migraine attacks (current one is over a month duration), muscle cramps

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Intractable migraine

Release 11 — day 7, dose 4

2022-05-01

Systemic reaction (other): Sinus and nasal congestion and draining

Release 11 — day 14, dose 4

2022-05-07

Symptoms: Extreme fatigue, cluster headaches, increased allergic reactions

Release 11 — day 35, dose 4

2022-05-28

Symptoms: Mild pelvic pain radiating to hips that becomes severe with the need to urinate or evacuate bowels Muscle cramps in legs and hands, mild to moderately painful Both maybe related to fibromyalgia

Release 12 — 3 months, dose 4

2022-07-23

Symptoms: Severe fatigue for several weeks, bacterial upper respiratory infection with lingering symptoms for 2 weeks

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Ocular migraines

Release 12 — day 28, dose 5

2022-11-15

Symptoms: Difficulty sleeping, excessive fatigue

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	Physiotherapy	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Allergy to arthropod bite	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cluster headache	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Coordination abnormal	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Defaecation urgency	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Micturition urgency	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Ophthalmic migraine	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pelvic pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Skin burning sensation	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Surgery	·	·	✓
SD	Tachycardia	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper respiratory tract infection bacterial	·	·	✓
SD	Urticaria	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Cognitive disorder	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Coordination abnormal	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Discharge	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Hand-eye coordination impaired	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Incontinence	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Sneezing	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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