YNR-31992-72704

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 315 / GA
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site reaction, Skin warm — Feeling: Good

Free text: Last Thursday I noticed a red spot size of silver dollar at injection site. It was warm to touch and tender. Lasted 2 days and then cleared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Arthralgia, Muscle spasms, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe muscle aches, muscle spasms and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Haemoglobin decreased, Muscle spasms — 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, Emergency room or emergency department visit, Hospitalization

Free text: Muscle spasms, shortness of breath, critically low hemoglobin count.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
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)
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Call 1 — Left Voicemail
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Cholelithiasis, Haemoglobin decreased, Hiatus hernia, Hospitalisation, Internal haemorrhage, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: In January 2022 I was hospitalized for internal bleeding. Hemoglobin level dropped to 7. Subsequent tests revealed gall stones and a hiatal hernia. · Healthcare visit (other): EEG and camera scan of small intestines

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-23	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-17	Successful 2022-03-22	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Last Thursday I noticed a red spot size of silver dollar at injection site. It was warm to touch and tender. Lasted 2 days and then cleared up.

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Severe muscle aches, muscle spasms and joint pain.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Muscle spasms, shortness of breath, critically low hemoglobin count.

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: In January 2022 I was hospitalized for internal bleeding. Hemoglobin level dropped to 7. Subsequent tests revealed gall stones and a hiatal hernia.

Healthcare visit (other): EEG and camera scan of small intestines

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cholelithiasis	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Haemoglobin decreased	✓	✓	✓
SD	Hiatus hernia	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Internal haemorrhage	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Skin warm	✓	✓	✓

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