YNL-15839-22952

3 vaccinations 14 coded responses 27 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 076 / NJ
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Survey response — day 0, dose 1
MedDRA: Back pain, Headache, Neck pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Very mild head ache or it could be neck ache. My neck is achy and more pronounced back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Musculoskeletal stiffness, Pre-existing disease, Sciatica — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Stiff neck. Back ache. Sciatica on side of injection

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

Free text: Stomach hurts when I eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Stomach feeling better but not 100% yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chest pain, Musculoskeletal stiffness, Respiratory tract congestion, Self-medication — Feeling: Good

Free text: Stiff neck, right side chest pains(a little congested), back pain. Took Tylenol today for the back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Insomnia — Feeling: Good · Headache

Free text: Having trouble sleeping more than 5 hours a night. Before vaccine I was sleeping 7 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: This past week I had a lot itching on my arms but now it is better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, 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
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain · Headache, Abdominal pain

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Swelling face — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Stiff neck. Face feels swollen. Could be allergies.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 2
MedDRA: Asthenia, Musculoskeletal stiffness — Feeling: Good

Free text: Right hand feels stiff upon waking. And still slightly stiff throughout the day. Still have less energy than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Fatigue, Office visit, Palpitations, Sleep disorder, Telemedicine, Thyroid disorder, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Possible thyroid issues. I wake up after 5 hours sleep with heart pounding. Heart pounding during day also. Started to loose weight. Took sleep aid to help me sleep longer. Very worn out right after dinner. Had blood work done to check thyroid. · Healthcare visit (other): Had a blood test then telemedicine visit with dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Anxiety, Initial insomnia, Nervousness, Palpitations — Feeling: Good

Free text: They are not new but I am still having trouble sleeping and trouble relaxing. Feel my heart beating and feel nervous.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-10
Dose 3 — Moderna
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Call 1 — Could Not Reach Participant
2022-04-19
Call successful
Not applicable - Accidental Reporting
2022-07-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2022-01-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Successful 2022-04-19	Not applicable - Accidental Reporting

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): Very mild head ache or it could be neck ache. My neck is achy and more pronounced back pain.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Stiff neck. Back ache. Sciatica on side of injection

2021-03-04

Systemic reaction (other): Stomach hurts when I eat.

2021-03-06

Systemic reaction (other): Stomach feeling better but not 100% yet.

2021-03-08

Systemic reaction (other): Stiff neck, right side chest pains(a little congested), back pain. Took Tylenol today for the back pain.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Having trouble sleeping more than 5 hours a night. Before vaccine I was sleeping 7 hours.

Release 5 — day 14, dose 1

2021-03-16

Symptoms: This past week I had a lot itching on my arms but now it is better.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Stiff neck.

2021-04-01

Systemic reaction (other): Stiff neck

2021-04-02

Systemic reaction (other): Stiff neck

2021-04-03

Systemic reaction (other): Stiff neck. Face feels swollen. Could be allergies.

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Right hand feels stiff upon waking. And still slightly stiff throughout the day. Still have less energy than usual.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Possible thyroid issues. I wake up after 5 hours sleep with heart pounding. Heart pounding during day also. Started to loose weight. Took sleep aid to help me sleep longer. Very worn out right after dinner. Had blood work done to check thyroid.

Healthcare visit (other): Had a blood test then telemedicine visit with dr.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: They are not new but I am still having trouble sleeping and trouble relaxing. Feel my heart beating and feel nervous.

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	Telemedicine	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Initial insomnia	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Thyroid disorder	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sciatica	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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