YPV-11056-99083

4 vaccinations 5 coded responses 36 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 299 / SC
Registered: 2021-03-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-26
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Arthralgia, Back pain, Fatigue, Muscle spasms, Musculoskeletal chest pain, Myosclerosis, Pain — Feeling: Good

Free text: Pain on ribs as if I worked my abdominal muscles too hard, pain on back of ribs too so back was aching, fatigue, pain and fatigue lasted about 2 days. Joint pain in both wrists and elbows which coincided with rib and back pain. Leg cramping at back o

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Abdominal pain

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Abdominal pain

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Headache, Hypoaesthesia, Paranasal sinus discomfort — Feeling: Fair

Free text: Numbness of face and scalp, headache, extraordinary sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Throbbing headaches have been happening continuously. I thought it was thirst or something.but starting to feel the cause may be the vaccine. Im generally in great health.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Moderna
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-21
Dose 4 — Moderna
2022-06-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — day 28, dose 4
MedDRA: Arthralgia, Asthenia, Bradykinesia, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain and my energy levels are lower than usual, headache too, could be hormonal or something else. It's not enough to completely hinder my daily activities but I have had to slow down quite a bit?I do have a high tolerance for pain.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-20
Survey response — 6 months, dose 4
MedDRA: Chills, Cough, Headache, Inflammation, Pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

Free text: I had fever, child, cough, body aches, sinuses inflamed, headache

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-21
Call 1 — Left Voicemail
2023-06-21
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2022-01-22	Moderna	No
4	2022-06-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-20	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Pain on ribs as if I worked my abdominal muscles too hard, pain on back of ribs too so back was aching, fatigue, pain and fatigue lasted about 2 days. Joint pain in both wrists and elbows which coincided with rib and back pain. Leg cramping at back o cut off by CDC

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Numbness of face and scalp, headache, extraordinary sinus pressure

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Throbbing headaches have been happening continuously. I thought it was thirst or something.but starting to feel the cause may be the vaccine. Im generally in great health.

Release 12 — day 28, dose 4

2022-07-19

Symptoms: Joint pain and my energy levels are lower than usual, headache too, could be hormonal or something else. It's not enough to completely hinder my daily activities but I have had to slow down quite a bit?I do have a high tolerance for pain.

Release 12 — 6 months, dose 4

2022-12-20

Symptoms: I had fever, child, cough, body aches, sinuses inflamed, headache

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	Abdominal discomfort	✓	✓	○
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Bradykinesia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Myosclerosis	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pyrexia	·	·	✓

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