YPG-18229-51177

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

Sex: Female
Age at first dose: 56-60
ZIP prefix: 628 / IL
Registered: 2021-02-12

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

2021-01-15
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Swelling · Joint pains

Free text: But I do have arthritis and the weather is such that would cause me to have joint pain anyway. I doubt if it is from the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · 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 — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

Free text: Slightly sore throat every morning. Fatigue even after a nights sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea for a couple days and a low grade fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Survey response — 6 months, dose 2
MedDRA: COVID-19, Quarantine — Feeling: Fair · Be unable to work or attend school

Free text: I got covid and was on quarantine from the ?25? Of July through the 4th of Aug

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-10
Dose 3 — Moderna
2021-12-10
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Sneezing — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Coughing, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Productive cough, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Coughing up phlegm, stopped up head

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Sneezing — Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness

Free text: Coughing and sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Coughing fits

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-11
Survey response — 3 months, dose 3
MedDRA: Cough, Nasal disorder — 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 · Telehealth, virtual health, or email health consultation

Free text: Bad cough and nasal problems for a month/was on steroids and antibiotics for a month

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-12
Survey response — 12 months, dose 3
MedDRA: Cough, Headache, Pain, Pyrexia, Somnolence — Feeling: Fair · Be unable to work or attend school

Free text: Headache, body aches, fever, slight cough, sleepiness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-12-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-11	Successful 2022-03-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): But I do have arthritis and the weather is such that would cause me to have joint pain anyway. I doubt if it is from the shot.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Slightly sore throat every morning. Fatigue even after a nights sleep

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Diarrhea for a couple days and a low grade fever

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: I got covid and was on quarantine from the ?25? Of July through the 4th of Aug

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Coughing, sneezing

2021-12-12

Systemic reaction (other): Coughing up phlegm, stopped up head

2021-12-13

Systemic reaction (other): Coughing and sneezing

2021-12-14

Systemic reaction (other): Cough

2021-12-15

Systemic reaction (other): Coughing fits

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Coughing

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Bad cough and nasal problems for a month/was on steroids and antibiotics for a month

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: Headache, body aches, fever, slight cough, sleepiness

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	Cough	·	·	✓
SD	COVID-19	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Nasal disorder	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Quarantine	✓	·	✓
SD	Somnolence	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sneezing	·	·	✓

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