YNY-22825-47731

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 857 / AZ
Registered: 2021-03-31

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

2021-03-30
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Just feel kinda crappy. Also, apots where I have pre-existing conditions (notably feet, knees, hips, back, hands) are more inflamed than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Preexisting conditions hurt more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms are consistent with "normal" fibromyalgia flare except arm pain

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

Free text: I normally don't feel awesome because of fibromyalgia but I feel normal for me

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

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Many of these symptoms are normal to me due to fibromyalgia but are much worse than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Acne — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: I had an unexpected severe acne breakout the last couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Trouble sleeping, both getting to sleep and staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Anaemia, Dysmenorrhoea, Hand fracture, Office visit, Tooth infection, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Fractured thumb, dysmenorrhea, viral dental infection, anemia · Healthcare visit (other): Pcp visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-04-27	Successful 2022-05-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Just feel kinda crappy. Also, apots where I have pre-existing conditions (notably feet, knees, hips, back, hands) are more inflamed than usual

2021-04-01

Systemic reaction (other): Preexisting conditions hurt more

2021-04-02

Systemic reaction (other): Symptoms are consistent with "normal" fibromyalgia flare except arm pain

2021-04-03

Systemic reaction (other): I normally don't feel awesome because of fibromyalgia but I feel normal for me

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Many of these symptoms are normal to me due to fibromyalgia but are much worse than normal

2021-05-02

Systemic reaction (other): I had an unexpected severe acne breakout the last couple of days.

2021-05-03

Systemic reaction (other): Trouble sleeping, both getting to sleep and staying asleep

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: Fractured thumb, dysmenorrhea, viral dental infection, anemia

Healthcare visit (other): Pcp visit

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	Anaemia	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Hand fracture	·	·	✓
SD	Tooth infection	·	·	✓
SD	Viral infection	·	·	✓
SRO	Acne	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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