YMV-22174-20627

3 vaccinations 21 coded responses 39 check-ins 21 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 841 / UT
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Tingling in my face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 0, dose 1
Be unable to work

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Very mild tingling on my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Be unable to work

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 21, dose 1
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection site

Free text: mild tingling right side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Blood pressure increased — Feeling: Good

Free text: Vlood pressure seems higher.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Still have occassional tingling or numbness in my face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Pain — Feeling: Good · Be unable to work

Free text: Upset stomach and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Call 1 — Left Voicemail
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Muscle rupture, Physiotherapy — Feeling: Good · 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: Symptoms: Tore a calf muscle. · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-27
Dose 3 — Moderna
2021-08-27
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Still have a slight numbness on face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia — Feeling: Good · Site: Swelling · Joint pains

Free text: Cheeks still feel a little numb

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure increased — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-03
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-10
Survey response — day 14, dose 3
MedDRA: Hot flush — Feeling: Good

Free text: Hot flashes.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 21, dose 3
MedDRA: Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend school

Free text: Strep throat

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 35, dose 3
MedDRA: Adverse drug reaction — Feeling: Good · Be unable to work or attend school

Free text: Adverse reaction antibiotics

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 42, dose 3
MedDRA: Muscle tightness — Feeling: Good · Be unable to do your normal daily activities

Free text: Calf muscles feel tight

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — 3 months, dose 3
MedDRA: Back pain, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle pain in calf and lower back.

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Survey response — 6 months, dose 3
MedDRA: Candida infection, Rash — Feeling: Good

Free text: Rash/thrush on chest

MedDRA releases: 2024-11 · check-in free text available
2022-08-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-08-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-02-05	Unsuccessful
2021-08-15	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Tingling in my face.

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Very mild tingling on my face

Release 3 — day 14, dose 1

2021-01-29

Symptoms: High blood pressure

Release 3 — day 21, dose 1

2021-02-05

Symptoms: High blood pressure

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): mild tingling right side of face

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Vlood pressure seems higher.

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Still have occassional tingling or numbness in my face.

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Upset stomach and body aches

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Shoulder pain

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Tore a calf muscle.

Healthcare visit (other): Physical therapy

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Tingling in face

2021-08-30

Systemic reaction (other): Still have a slight numbness on face

2021-08-31

Systemic reaction (other): Cheeks still feel a little numb

2021-09-01

Systemic reaction (other): Elevated blood pressure

Release 9 — day 14, dose 3

2021-09-10

Symptoms: Hot flashes.

Release 9 — day 21, dose 3

2021-09-17

Symptoms: Strep throat

Release 9 — day 28, dose 3

2021-09-24

Symptoms: Fatigue

Release 9 — day 35, dose 3

2021-10-01

Symptoms: Adverse reaction antibiotics

Release 10 — day 42, dose 3

2021-10-08

Symptoms: Calf muscles feel tight

Release 10 — 3 months, dose 3

2021-11-26

Symptoms: Muscle pain in calf and lower back.

Release 11 — 6 months, dose 3

2022-02-27

Symptoms: Rash/thrush on chest

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 drug reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Blood pressure increased	✓	✓	✓
SD	Candida infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Hot flush	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Muscle rupture	✓	·	✓
SD	Muscle tightness	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Rash	·	·	✓
SRO	Blood pressure increased	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Paraesthesia	✓	✓	✓

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