YNC-14214-57803

4 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 708 / LA
Registered: 2021-05-24

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

Registered dependents

QEP-26797-92331 Child or adolescent in my care · Female · 2022-06-24

Timeline

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

2021-05-11
Dose 1 — Moderna
2021-05-24
Registered in v-safe
2021-05-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 21, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive been really sleepy. Im tired all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Dose 2 — Moderna
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Parosmia — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Parosmia increase

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 7, dose 2
MedDRA: Brain fog, Dysgeusia, Parosmia, Scleritis, Vision blurred — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Brain fog, blurry vision, parosmia, dysgeusia, wpiscleritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Survey response — day 35, dose 2
MedDRA: COVID-19, Episcleritis, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My episcleritis is coming back. (Started around March 3. I contracted COVID around Dec 21.) · Healthcare visit (other): Regular doctor appointment.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Call 1 — Left Voicemail
2021-12-07
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-13
Dose 3 — Pfizer-BioNTech
2022-06-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-20
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site swelling — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still have a bit of a swollen knot at the injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Flatulence — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Gas (but it's starting to subside)

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 21, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I'm having some phantosmia, but I had COVID in DEC 2020 and got parosmia & phantosmia that has mostly resolved, so it could be a relapse.

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — day 28, dose 4
MedDRA: Autonomic nervous system imbalance, Headache, Hypoaesthesia — Feeling: Fair

Free text: Possible parosmia last night. Dysautonomia (temp regulation) Headache? forehead feels numb.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Survey response — day 35, dose 4
MedDRA: Brain fog, Condition aggravated, Pre-existing disease, Sinusitis — Feeling: Fair

Free text: Sinus infection (probably unrelated) My post-covid-2020 parosmia and phantosmia have been acting up a lot recently. Brain fog has been worse.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-20
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-21
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-11	Moderna
2	2021-06-08	Moderna
3	2021-12-13	Pfizer-BioNTech	No
4	2022-09-20	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-15	Unsuccessful

Free text

Release 8 — day 21, dose 1

2021-06-04

Symptoms: Ive been really sleepy. Im tired all the time.

Release 9 — days 1–6 daily, dose 2

2021-06-11

Systemic reaction (other): Congestion

2021-06-13

Systemic reaction (other): Parosmia increase

Release 9 — day 7, dose 2

2021-06-15

Systemic reaction (other): Brain fog, blurry vision, parosmia, dysgeusia, wpiscleritis

Release 9 — day 35, dose 2

2021-07-15

Symptoms: My episcleritis is coming back. (Started around March 3. I contracted COVID around Dec 21.)

Healthcare visit (other): Regular doctor appointment.

Release 12 — days 1–6 daily, dose 4

2022-09-23

Systemic reaction (other): Still have a bit of a swollen knot at the injection site.

2022-09-24

Systemic reaction (other): Gas (but it's starting to subside)

Release 12 — day 21, dose 4

2022-10-13

Symptoms: I'm having some phantosmia, but I had COVID in DEC 2020 and got parosmia & phantosmia that has mostly resolved, so it could be a relapse.

Release 12 — day 28, dose 4

2022-10-18

Symptoms: Possible parosmia last night. Dysautonomia (temp regulation) Headache? forehead feels numb.

Release 12 — day 35, dose 4

2022-10-25

Symptoms: Sinus infection (probably unrelated) My post-covid-2020 parosmia and phantosmia have been acting up a lot recently. Brain fog has been worse.

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	Autonomic nervous system imbalance	·	·	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	✓	·	✓
SD	Episcleritis	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Sinusitis	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Flatulence	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Parosmia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Scleritis	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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