YNM-21590-49600

4 vaccinations 13 coded responses 35 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 303 / GA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
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: Fair · Chills, Nausea, Abdominal pain

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Urinary tract infection — Feeling: Poor · Fever · Chills · Be unable to do your normal daily activities

Free text: urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Renal transplant, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had a recurring UTI that has to do with my kidney transplant and not the vaccine.

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

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen glands in neck with pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · 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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Chills, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills, fever, aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Haematological infection, Hospitalisation, Kidney infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a kidney infection that spread toMy bloodstream. Was in the hospital from 4/25/21-3/2/21 and am on iv antibiotics for -4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 42, dose 2
MedDRA: Migraine — Feeling: Fair

Free text: Migraine headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2022-02-11
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — 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: I have a very bad URI but tested negative for covid.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-05-31
Dose 4 — Moderna
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-14
Survey response — day 14, dose 4
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tired, headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-05
Survey response — day 35, dose 4
MedDRA: Kidney infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Kidney infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — day 42, dose 4
MedDRA: Gastrointestinal disorder, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach issues, headache

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Survey response — 3 months, dose 4
MedDRA: Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had reconstructive surgery

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Survey response — 6 months, dose 4
MedDRA: Diarrhoea, Malaise, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: URI, diarrhea, feeling cruddy

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-20	Moderna	No
4	2022-05-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2022-02-11	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): urinary tract infection

Release 3 — day 14, dose 1

2021-01-28

Symptoms: I have had a recurring UTI that has to do with my kidney transplant and not the vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Swollen glands in neck with pain

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Chills, fever, aches

Release 5 — day 21, dose 2

2021-03-04

Symptoms: I have a kidney infection that spread toMy bloodstream. Was in the hospital from 4/25/21-3/2/21 and am on iv antibiotics for -4 days.

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Terrible migraine.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Migraine headache

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: I have a very bad URI but tested negative for covid.

Release 12 — day 14, dose 4

2022-06-14

Symptoms: Tired, headache

Release 12 — day 35, dose 4

2022-07-05

Symptoms: Kidney infection

Release 12 — day 42, dose 4

2022-07-14

Symptoms: Stomach issues, headache

Release 12 — 3 months, dose 4

2022-08-30

Symptoms: I had reconstructive surgery

Release 12 — 6 months, dose 4

2022-12-01

Symptoms: URI, diarrhea, feeling cruddy

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
SD	Chills	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Haematological infection	✓	✓	✓
SD	Headache	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Kidney infection	✓	✓	✓
SD	Malaise	·	·	✓
SD	Migraine	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Renal transplant	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Surgery	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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