YPT-29665-25456

5 vaccinations 10 coded responses 66 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 953 / CA
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Dizziness, Dry throat, Immediate post-injection reaction, Wheezing — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Dizziness 15 mins after but seems better at the moment. Dry throat and a little wheezy breathing about 4 hours after but so far doesnt seem too bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Aphonia — Feeling: Good · Site: Pain

Free text: losing my voice, most likely from all the random phone calls all day yesterday!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches

Free text: dizziness came back briefly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Good

Free text: Slightly dizzy (much less than 1st shot). Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Oxygen saturation decreased — Feeling: Poor · Site: Pain · 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: O2 saturation lower than usual (94-97)

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

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Office visit, Tympanic membrane disorder, Unevaluable event, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Retracted eardrums (per MD), vertigo off and on. No idea of cause but not debilitating. · Healthcare visit (other): Appt with primary MD (not urgent).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-07-26
Call successful
Participant prefers to complete VAERS report online
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, 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: Good · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-24
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis, Tympanic membrane disorder, Vertigo — Feeling: Fair

Free text: mild vertigo (ear drums retracted) and think I caught a cold.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
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
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Chills, Migraine, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine, stomach upset, some chills, lasted several days. Not usual for me..home covid test said negative, no fever but who knows. Maybe sinus issues.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Dose 5 — Moderna
2022-10-06
Health check-in — day 0, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-10
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-05
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-06
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-27	Moderna	No
4	2022-04-28	Moderna	No
5	2022-10-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-14	Successful 2021-07-26	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Dizziness 15 mins after but seems better at the moment. Dry throat and a little wheezy breathing about 4 hours after but so far doesnt seem too bad.

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): losing my voice, most likely from all the random phone calls all day yesterday!!!

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): dizziness came back briefly

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Slightly dizzy (much less than 1st shot). Brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): O2 saturation lower than usual (94-97)

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Retracted eardrums (per MD), vertigo off and on. No idea of cause but not debilitating.

Healthcare visit (other): Appt with primary MD (not urgent).

Release 10 — day 28, dose 3

2021-11-24

Symptoms: mild vertigo (ear drums retracted) and think I caught a cold.

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): vertigo

2022-05-01

Systemic reaction (other): vertigo

Release 11 — day 14, dose 4

2022-05-12

Symptoms: Migraine, stomach upset, some chills, lasted several days. Not usual for me..home covid test said negative, no fever but who knows. Maybe sinus issues.

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	Abdominal discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tympanic membrane disorder	✓	·	✓
SD	Unevaluable event	○	✓	○
SD	Vertigo	✓	✓	✓
SRO	Aphonia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Vertigo	·	·	✓
SRO	Wheezing	✓	✓	✓

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