YMH-82781-53368

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 891 / NV
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Fatigue, Injection site reaction, Malaise, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: No biy felt fine after shot yesterday. By evening got pain in my back and arm, and today am more fstigued and generally dont feel well. n and dwelling around injection site, this morning wax fine but in esrly sfternoon staetef feelingmore fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: One brief partial dizzy spell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Office visit, Vitreous floaters — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I am havimg floaters in my eyes. Checked with doctor, rwferred to opthamologist tomorrow. Staeted Saturday 3/6 · Healthcare visit (other): Doctor's ofdice and opthamologist tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 21, dose 1
MedDRA: Office visit, Vitreous floaters — Feeling: Fair · Be unable to work, 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: Symptoms: Suddenly got eye floaters. Went to Dr opthamologist and retinal spec. No retinal tear but pulled away on blood vessel. 1% - 2% poss future tear. · Healthcare visit (other): Reg dr opthamologist and retinal spec

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Redness, Swelling

Free text: Soreness arounf injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea exertional, Exercise tolerance decreased, Fatigue, Muscular weakness — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Have had much more difficulty going up stairs. I have problems catching my breath. Extremely winded. Hard to get up the stairs. No strength in my legs to get on the next step. Total exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Generally more exhausted. Not been on the stairs today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Extremee tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Total exhaustion

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

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Fatigue, Memory impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Hard to catch my breath on exertion. Increade in memory issues. Exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Heart rate increased, Mobility decreased, Office visit, Therapy change — 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

Free text: Symptoms: Racing heartbeat yesterday. Rested the rest if the day. Have been switching some medications to avoid certain side effects and will cinrinue to dollow up. · Healthcare visit (other): Appointments with my cardiologist and other general healthcare follow up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 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

1 call case(s)
2021-06-29
Call 1 — Could Not Reach Participant
2021-07-02
Call 2 — Could Not Reach Participant
2021-07-02
Callback requested for
12:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-10	Unsuccessful
2021-03-17	Unsuccessful
2021-06-23	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): No biy felt fine after shot yesterday. By evening got pain in my back and arm, and today am more fstigued and generally dont feel well. n and dwelling around injection site, this morning wax fine but in esrly sfternoon staetef feelingmore fatigue

2021-02-26

Systemic reaction (other): Dizziness

2021-02-27

Systemic reaction (other): No

2021-03-02

Systemic reaction (other): One brief partial dizzy spell

Release 5 — day 14, dose 1

2021-03-10

Symptoms: I am havimg floaters in my eyes. Checked with doctor, rwferred to opthamologist tomorrow. Staeted Saturday 3/6

Healthcare visit (other): Doctor's ofdice and opthamologist tomorrow

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Suddenly got eye floaters. Went to Dr opthamologist and retinal spec. No retinal tear but pulled away on blood vessel. 1% - 2% poss future tear.

Healthcare visit (other): Reg dr opthamologist and retinal spec

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Soreness arounf injection site.

2021-03-27

Systemic reaction (other): No

2021-03-28

Systemic reaction (other): Have had much more difficulty going up stairs. I have problems catching my breath. Extremely winded. Hard to get up the stairs. No strength in my legs to get on the next step. Total exhaustion.

2021-03-29

Systemic reaction (other): Generally more exhausted. Not been on the stairs today.

2021-03-30

Systemic reaction (other): Extremee tiredness

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Total exhaustion

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Hard to catch my breath on exertion. Increade in memory issues. Exhaustion.

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: Racing heartbeat yesterday. Rested the rest if the day. Have been switching some medications to avoid certain side effects and will cinrinue to dollow up.

Healthcare visit (other): Appointments with my cardiologist and other general healthcare follow up.

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Therapy change	○	✓	○
SD	Vitreous floaters	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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