YNX-22984-59194

4 vaccinations 12 coded responses 29 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 113 / NY
Registered: 2021-03-15

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-12
Dose 1 — Moderna
2021-03-13
Dose 2 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Symptoms were severe Sunday after 2d dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-20
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Fatigue or tiredness

Free text: GI discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair

Free text: Gastrointestinal distress.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-13
Survey response — 6 months, dose 2
MedDRA: Gastric ulcer — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach ulcer

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-09-21
Call 2 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Survey response — day 28, dose 3
MedDRA: Decreased appetite, Headache, Unevaluable event — Feeling: Fair

Free text: Headaches, GI, diminished appetite

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
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
2022-04-03
Dose 4 — Moderna
2022-04-19
Survey response — day 14, dose 4
MedDRA: Dysphonia — Feeling: Fair

Free text: Throat horse

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-07
Survey response — day 28, dose 4
MedDRA: Anxiety, Discomfort, Dysphonia, Oropharyngeal pain — Feeling: Fair

Free text: Occasionally I develop a sore throat and my voice becomes hoarse. This developed soon after I had 4th booster. This symptom occurs unexpectedly. It is not painful per se, but uncomfortable and worrisome.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Reoccurring sore throat without fever.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Recurrent sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Survey response — 3 months, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: I continue to experience intermittent sore throats without other accompanying symptoms. Onset is sudden and lasts hours.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-13	Moderna
3	2021-10-27	Moderna	No
4	2022-04-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-13	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Symptoms were severe Sunday after 2d dose

2021-03-18

Systemic reaction (other): Brain fog

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): GI discomfort

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Gastrointestinal distress.

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Stomach ulcer

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Light headed

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Headaches, GI, diminished appetite

Release 11 — day 14, dose 4

2022-04-19

Symptoms: Throat horse

Release 11 — day 28, dose 4

2022-05-07

Symptoms: Occasionally I develop a sore throat and my voice becomes hoarse. This developed soon after I had 4th booster. This symptom occurs unexpectedly. It is not painful per se, but uncomfortable and worrisome.

Release 11 — day 35, dose 4

2022-05-09

Symptoms: Reoccurring sore throat without fever.

Release 11 — day 42, dose 4

2022-05-17

Symptoms: Recurrent sore throat

Release 12 — 3 months, dose 4

2022-07-05

Symptoms: I continue to experience intermittent sore throats without other accompanying symptoms. Onset is sudden and lasts hours.

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	Anxiety	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Discomfort	·	·	✓
SD	Dysphonia	·	·	✓
SD	Gastric ulcer	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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