YND-14805-24387

4 vaccinations 15 coded responses 46 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 986 / WA
Registered: 2021-01-21

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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Muscular weakness — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle weakness in arm and neck and left TMJ

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Coughing last night, not today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Hyperhidrosis — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 6 hours of cold sweats not associated with a high temperature, my body was just sweating lots (soaking wet) from 5AM till 11AM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: Grateful to have received this vaccine. I feel less anxious.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular heart beats and shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Ear infection, Tonsillitis — Feeling: Fair · 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: Tonsillitis & ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Stiff neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Survey response — day 35, dose 3
MedDRA: Ophthalmic migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Ocular migrane

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-18
Call 1 — Left Voicemail
2022-04-15
Dose 4 — Moderna
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 21, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Survey response — 3 months, dose 4
MedDRA: Corneal dystrophy, Eye pain, Vision blurred — 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: My eyes have been hurting and blurry and I have been diagnosed with Fuchs Dystrophy, a progressive Corneal disease.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Report sent to call center — 3 months, dose 4
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)
2022-07-18
Call 2 — Could Not Reach Participant
2022-07-21
Call 3 — Left Voicemail
2022-10-16
Survey response — 6 months, dose 4
MedDRA: Dry eye, Eye allergy, Office visit, Pigment dispersion syndrome, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with pigment dispersion syndrome but. Both eyes. Decreasing vision and dry allergic eyes. Too much reading while being staying home being COVID Cautious is taking a toll on my eyes. · Healthcare visit (other): Opthamologist

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-18
Call 3 — Could Not Reach Participant
2022-10-18
Call 2 — Could Not Reach Participant
2022-10-21
Call X — Left Voicemail
2022-10-21
Call X — Left Voicemail
2022-10-21
Call 3 — Left Voicemail
2023-04-17
Survey response — 12 months, dose 4
MedDRA: Eye disorder, Office visit, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-19
Call 2 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-10-27	Moderna	No
4	2022-04-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Unsuccessful
2022-07-15	Unsuccessful
2022-10-16	Unsuccessful
2023-04-17	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Muscle weakness in arm and neck and left TMJ

2021-01-22

Systemic reaction (other): Slightly dizzy

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Coughing last night, not today.

2021-02-19

Systemic reaction (other): Stiff neck

2021-02-20

Systemic reaction (other): 6 hours of cold sweats not associated with a high temperature, my body was just sweating lots (soaking wet) from 5AM till 11AM

2021-02-23

Systemic reaction (other): Grateful to have received this vaccine. I feel less anxious.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Irregular heart beats and shortness of breath.

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Tonsillitis & ear infection

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Stiff neck

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Ocular migrane

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Fatigue

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: My eyes have been hurting and blurry and I have been diagnosed with Fuchs Dystrophy, a progressive Corneal disease.

Release 12 — 6 months, dose 4

2022-10-16

Symptoms: Diagnosed with pigment dispersion syndrome but. Both eyes. Decreasing vision and dry allergic eyes. Too much reading while being staying home being COVID Cautious is taking a toll on my eyes.

Healthcare visit (other): Opthamologist

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	Corneal dystrophy	·	·	✓
SD	Dry eye	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Eye allergy	·	·	✓
SD	Eye disorder	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Ophthalmic migraine	·	·	✓
SD	Pigment dispersion syndrome	·	·	✓
SD	Tonsillitis	✓	✓	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓

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