YMC-87642-54603

4 vaccinations 18 coded responses 38 check-ins 16 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 015 / MA
Registered: 2021-03-25

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

2021-03-24
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest tightness, sore throat, runny nose, congestion,

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: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Gait disturbance, Muscle fatigue, Myalgia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My quadriceps are very sore and its harder to walk. They tired very easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Malaise, Muscle spasms, Oropharyngeal pain, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I felt normal today upon waking. Muscle cramps in quads were much less. Then in the evening a sore throat, achiness, fatigue and an unwell feeling happened again and my quads became much more sore, achy and fatigued with standing and walking. Had a headache as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Myalgia, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My quads are very sore when I stand and walk, and it gets worse the more I move

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site pain, Oropharyngeal pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have been continuing to have severe aching in my quads that increases with activity. Also aching all over and fatigue. It comes and goes, severe at times. Mild sore throat off and on. Also mild injection site pain returned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Decreased appetite, Ear discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ears clogged, no appetite, no energy to get out of bed,

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

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Ive had consistent chest pain in center of chest that seems to be getting more pronounced since the day after the vaccine. I also get short of breath easily with talking and activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Mild shortness of breath and mild chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 14, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Pain and a lump in the arm I got the shot in near the injection site. Im still achy, fatigued, chest tightness and shortness of breath. Those all are more mild at this point.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach issues, pain, achiness, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Myalgia, Vaccine positive rechallenge — Feeling: Good

Free text: Occasionally have the quad aches I got after both doses

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Myalgia, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI and had same quad aches I got post vaccine. Also quads still ache a lot on and off

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call 3 — Left Voicemail
2022-01-08
Dose 3 — Moderna
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, quad aches, fatigue, stuffy nose, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Dose 4 — Moderna
2022-10-08
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort, Chest pain, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion, Vertigo — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat, congestion, chest pain/tightness, SOB, vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort, Dizziness, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, congestion, chest tightness, mild dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 35, dose 4
MedDRA: Dizziness, Nausea, Vertigo — Feeling: Good

Free text: Last weekend went on a carousel and I had significant vertigo when watching it move and then when on it I had to keep my head down looking at the ground to avoid vertigo. I also have been having general feelings of lightheadedness/nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-06
Survey response — 3 months, dose 4
MedDRA: Dizziness, Myalgia, Physiotherapy, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-06
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-04-07
Survey response — 6 months, dose 4
MedDRA: Adverse reaction, COVID-19 — Feeling: Fair · Be unable to work or attend school, 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

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-10
Call 2 — Left Voicemail
2023-04-10
Call 2 — Left Voicemail
2023-04-10
Call 2 — Left Voicemail
2023-04-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2022-01-08	Moderna	No
4	2022-10-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-07	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-26	Unsuccessful
2021-10-20	Unsuccessful
2023-01-06	Unsuccessful
2023-04-07	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Chest tightness, sore throat, runny nose, congestion,

2021-03-29

Systemic reaction (other): My quadriceps are very sore and its harder to walk. They tired very easily

2021-03-30

Systemic reaction (other): I felt normal today upon waking. Muscle cramps in quads were much less. Then in the evening a sore throat, achiness, fatigue and an unwell feeling happened again and my quads became much more sore, achy and fatigued with standing and walking. Had a headache as well.

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): My quads are very sore when I stand and walk, and it gets worse the more I move

Release 7 — day 14, dose 1

2021-04-07

Symptoms: I have been continuing to have severe aching in my quads that increases with activity. Also aching all over and fatigue. It comes and goes, severe at times. Mild sore throat off and on. Also mild injection site pain returned.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Ears clogged, no appetite, no energy to get out of bed,

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Ive had consistent chest pain in center of chest that seems to be getting more pronounced since the day after the vaccine. I also get short of breath easily with talking and activity.

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Mild shortness of breath and mild chest tightness

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Pain and a lump in the arm I got the shot in near the injection site. Im still achy, fatigued, chest tightness and shortness of breath. Those all are more mild at this point.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Stomach issues, pain, achiness, sore throat

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Occasionally have the quad aches I got after both doses

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: UTI and had same quad aches I got post vaccine. Also quads still ache a lot on and off

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Sore throat, quad aches, fatigue, stuffy nose, shortness of breath

Release 12 — days 1–6 daily, dose 4

2022-10-08

Systemic reaction (other): Sore throat, congestion, chest pain/tightness, SOB, vertigo

2022-10-09

Systemic reaction (other): Sore throat, congestion, chest tightness, mild dizziness

Release 12 — day 35, dose 4

2022-11-11

Symptoms: Last weekend went on a carousel and I had significant vertigo when watching it move and then when on it I had to keep my head down looking at the ground to avoid vertigo. I also have been having general feelings of lightheadedness/nausea.

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 discomfort	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Vertigo	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscle fatigue	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vertigo	·	·	✓

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