YPS-88348-54136

2 vaccinations 15 coded responses 21 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 973 / OR
Registered: 2021-06-20

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

2021-06-18
Dose 1 — Moderna
2021-06-20
Registered in v-safe
2021-06-20
Health check-in — days 1–6 daily, dose 1
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
2021-06-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-06-24
Survey response — days 1–6 daily, dose 1
MedDRA: Localised oedema — Feeling: Good

Free text: Edema in lower calves, may not be vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 7, dose 1
MedDRA: Muscle spasms, Oedema peripheral, Vasodilatation — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Leg edema worsening and woke up with a screaming charley horse where the veins have popped out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-11
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches on a daily basis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-07-25
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-08-12
Dose 2 — Moderna
2021-08-13
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Injection site bruising — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Free text: Bruising at injection site and other places on that arm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — days 1–6 daily, dose 2
MedDRA: Incontinence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Incontinence

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruising at the injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruising at injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Fatigue or tiredness

Free text: Bruising at injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — day 7, dose 2
MedDRA: Contusion, Injection site bruising — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Bruising at injection site and some on lower legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 14, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: At doctor now checking for UTI.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — day 14, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Call 1 — Left Voicemail
2021-09-02
Survey response — day 21, dose 2
MedDRA: Alopecia, Headache, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches still bad, wake up with them. Also have vertigo coming and going. Realized my hair has been falling out since the first shot.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-12
Survey response — day 28, dose 2
MedDRA: Gastrointestinal inflammation, Gastrointestinal tract irritation — 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: Severe intestinal irritation/inflamation.

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-09-19
Survey response — day 35, dose 2
MedDRA: Alopecia — Feeling: Fair

Free text: Hair is still falling out, now having a hard time hiding bald patches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — 3 months, dose 2
MedDRA: Alopecia, Erythema, Facial pain, Neck pain, Oral pain, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More red spots, hair still falling out and hives and then sore on my face, mouth and back of neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-12
Call 1 — Could Not Reach Participant
2021-11-19
Call 2 — Could Not Reach Participant
2022-02-10
Survey response — 6 months, dose 2
MedDRA: Erythema, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Severe vertigo, more red spots

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 6 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-18	Moderna	No
2	2021-08-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-26	Unsuccessful
2021-09-12	Unsuccessful
2021-11-11	Unsuccessful
2022-02-10	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-24

Systemic reaction (other): Edema in lower calves, may not be vaccine related

Release 9 — day 7, dose 1

2021-06-25

Systemic reaction (other): Leg edema worsening and woke up with a screaming charley horse where the veins have popped out.

Release 9 — day 21, dose 1

2021-07-11

Symptoms: Headaches on a daily basis

Release 9 — days 1–6 daily, dose 2

2021-08-13

Systemic reaction (other): Bruising at injection site and other places on that arm

2021-08-14

Systemic reaction (other): Incontinence

2021-08-15

Systemic reaction (other): Bruising at the injection site

2021-08-16

Systemic reaction (other): Bruising at injection site

2021-08-17

Systemic reaction (other): Bruising at injection site

Release 9 — day 7, dose 2

2021-08-19

Systemic reaction (other): Bruising at injection site and some on lower legs

Release 9 — day 14, dose 2

2021-08-26

Symptoms: At doctor now checking for UTI.

Release 9 — day 21, dose 2

2021-09-02

Symptoms: Headaches still bad, wake up with them. Also have vertigo coming and going. Realized my hair has been falling out since the first shot.

Release 9 — day 28, dose 2

2021-09-12

Symptoms: Severe intestinal irritation/inflamation.

Release 9 — day 35, dose 2

2021-09-19

Symptoms: Hair is still falling out, now having a hard time hiding bald patches.

Release 10 — 3 months, dose 2

2021-11-11

Symptoms: More red spots, hair still falling out and hives and then sore on my face, mouth and back of neck

Release 11 — 6 months, dose 2

2022-02-10

Symptoms: Severe vertigo, more red spots

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	Alopecia	✓	·	✓
SD	Erythema	·	·	✓
SD	Facial pain	·	·	✓
SD	Gastrointestinal inflammation	·	·	✓
SD	Gastrointestinal tract irritation	·	·	✓
SD	Headache	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Office visit	✓	·	✓
SD	Oral pain	·	·	✓
SD	Urinary tract infection	✓	·	✓
SD	Urticaria	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Contusion	✓	·	✓
SRO	Incontinence	✓	·	✓
SRO	Injection site bruising	✓	·	✓
SRO	Localised oedema	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Vasodilatation	✓	✓	✓

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