YME-75034-75044

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 304 / GA
Registered: 2021-03-18

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Itching all over. Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: Good

Free text: Vaccine site has turned red, hot and covers about 1/4 of my upper arm. Itching still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, Swelling

Free text: Pain is getting increasingly worse around injection site also it is getting hotter.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth ulceration — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mouth is broken out with ulcers on tongue, cheek and gums.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth ulceration, Tongue ulceration — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have ulcers in my moth and on my tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth ulceration, Pain in jaw — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ulcers in mouth still and pain in jaws

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth ulceration, Oral pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have some mouth pain because of ulcers. They are a little better but has made my mouth very sensitive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth ulceration, Oral pain

Free text: Still have some mouth pain because of ulcers. They are a little better but has made my mouth very sensitive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Oral pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having mouth pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Fatigue — Feeling: Fair

Free text: Upset stomach, diarrhea, still feeling some tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having gastrointestinal upset symptoms. They have been present since after the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Itching all over. Mild

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Vaccine site has turned red, hot and covers about 1/4 of my upper arm. Itching still.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Pain is getting increasingly worse around injection site also it is getting hotter.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Mouth is broken out with ulcers on tongue, cheek and gums.

2021-04-18

Systemic reaction (other): Still have ulcers in my moth and on my tongue

2021-04-19

Systemic reaction (other): Ulcers in mouth still and pain in jaws

2021-04-20

Systemic reaction (other): Still have some mouth pain because of ulcers. They are a little better but has made my mouth very sensitive.

2021-04-20

Systemic reaction (other): Still have some mouth pain because of ulcers. They are a little better but has made my mouth very sensitive.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Still having mouth pain

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Upset stomach, diarrhea, still feeling some tiredness.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Still having gastrointestinal upset symptoms. They have been present since after the first vaccine.

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
SD	Abdominal discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Mouth ulceration	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Tongue ulceration	✓	✓	✓

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