YMS-30801-68642

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 983 / WA
Registered: 2021-03-20

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Feeling cold, Hypoaesthesia oral — Feeling: Good

Free text: A weird freeze feeling in the tear duct area of my right eye and numb lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Abdominal pain

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Unusual Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-27
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Muscle or body aches

Free text: Skin breakouts and I never get those. Weird?

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: Acne — Feeling: Good

Free text: Still weird skin/pimple breakouts. Nothing else has changed. Schedule, diet etc all the same

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: Acne, Pruritus, Rash, Scab — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Still getting pimpleBreakouts although now crazy itching and feeling like Im being bit. I also noticed scalp rash. Like itchy little scabs all over my scalp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Fatigue, Rhinorrhoea, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sheser exhaustion in the last few days. Some sniffling sinus issu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 35, dose 2
MedDRA: Axillary pain, Chest discomfort, Chest pain — Feeling: Fair

Free text: Inside arm / chest pain. Some heavy chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-20	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): A weird freeze feeling in the tear duct area of my right eye and numb lips

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Sore throat

2021-03-24

Systemic reaction (other): Unusual Sore throat

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Sore throat glands

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Skin breakouts and I never get those. Weird?

2021-04-24

Systemic reaction (other): Still weird skin/pimple breakouts. Nothing else has changed. Schedule, diet etc all the same

2021-04-25

Systemic reaction (other): Still getting pimpleBreakouts although now crazy itching and feeling like Im being bit. I also noticed scalp rash. Like itchy little scabs all over my scalp.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Sheser exhaustion in the last few days. Some sniffling sinus issu

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Exhaustion

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Inside arm / chest pain. Some heavy chest tightness

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	Axillary pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Acne	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Scab	✓	✓	✓

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