YMZ-33085-10731

5 vaccinations 7 coded responses 33 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 390 / MS
Registered: 2021-03-23

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

2021-03-22
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Nausea

Adult check-in
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 · None

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

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — day 0, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Pain · Headache

Free text: A little groggy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · 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 · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

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

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Ear pain, Nasal congestion, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: My nose is stopped up & I have earaches, neither of which is relieved by otc meds. I am using prescription ear drops, but no relief yet. Ive had this condition for about 10 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Good

Free text: Some shortness of breath, & a bit of tightness in my chest; however, it could b part of my COPD.

MedDRA releases: 2024-11 · check-in free text available
2021-09-02
Dose 3 — Moderna
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, SARS-CoV-2 test, Sinusitis — Feeling: Good · 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: Sinus infection, sore throat. · Healthcare visit (other): Strep test & COVID-19 test

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2022-02-10
Dose 4 — Moderna
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Office visit, Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · 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: Rapidly accelerating pain, swelling, and stiffening of psoriatic arthritis that was managed previously with biologic drugs. Vaccines may have further compromised/exacerbated my condition. · Healthcare visit (other): Rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-09-28
Dose 5 — Moderna
Co-administered: Flu
2022-10-11
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Survey response — day 42, dose 5
MedDRA: Sinusitis — Feeling: Good

Free text: Sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-20	Moderna
3	2021-09-02	Moderna	No
4	2022-02-10	Moderna	No
5	2022-09-28	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-19	Unsuccessful
2022-04-20	Unsuccessful

Free text

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): A little groggy.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: My nose is stopped up & I have earaches, neither of which is relieved by otc meds. I am using prescription ear drops, but no relief yet. Ive had this condition for about 10 days.

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Some shortness of breath, & a bit of tightness in my chest; however, it could b part of my COPD.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Sinus infection, sore throat.

Healthcare visit (other): Strep test & COVID-19 test

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: Rapidly accelerating pain, swelling, and stiffening of psoriatic arthritis that was managed previously with biologic drugs. Vaccines may have further compromised/exacerbated my condition.

Healthcare visit (other): Rheumatologist

Release 12 — day 42, dose 5

2022-11-09

Symptoms: Sinusitis

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Depression

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	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Depression	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Somnolence	✓	✓	✓

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