YRC-26418-08062

5 vaccinations 19 coded responses 52 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 784 / TX
Registered: 2021-03-19

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

2021-03-05
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Asthenia, Chills, Eye pain, Hyperhidrosis, Myalgia, Office visit, Pain in extremity, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Saw Opthalmologist yesterday for L eye pain, new onset streaks of light and new big floater in left field of vision, likely age-related. Reaction to #1 vaxx was chills, sweats, muscle aches, profound weakness, and BOTH arms sore for around a week. · Healthcare visit (other): Opthalmologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chills, Hyperhidrosis, Presyncope, Toothache — Feeling: Poor · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt close to fainting 3 times today, very weak, sweating profusely. Had severe teeth chattering first night so teeth sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Hyperhidrosis — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I get drenched in sweat for no reason,am weak and at times feel wobbly/unsteady.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Feeling abnormal, Hyperhidrosis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog continues, weakness, light headed at times, start sweating profusely for no reason, but feel a little better than yesterday so hopeful this will soon end. I have never taken my temp but don't feel feverish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Hyperhidrosis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still feel weak and sweaty but a little better than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Asthenia, Hyperhidrosis — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still a little weak and sweaty, but much better than yesterday!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 21, dose 2
MedDRA: Joint noise, Muscle strain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Both knees seem to pop painfully at times when I'm walking, never did that before. Also, now seem to have severe back strain but didn't really do anything to bring it on. Probably just old age.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, dose 2
MedDRA: Back pain, Ligament disorder, Office visit, Photopsia, Vitreous floaters — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had severe back pain and new knee issues. Saw Dr., he said was ligament strain and recommended Voltaren gel. Still have black floaters and flashes of light to left eye, seeing Opthamologist again May 3 for follow up. All are probably age-related. · Healthcare visit (other): Reg. Dr. Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
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)
2021-05-04
Survey response — day 35, dose 2
MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Back pain got worse, could barely walk but much better now after medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Back pain, Eye disorder, Joint injury, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: Really bad back pain and knee strain for which I saw Dr. 2 weeks ago, and eye issues saw Opthamologist for last week. Both could be R/T holding Prednisone before and after each Vax. I am back on the medication now and I guess it will just take time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · 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, Swelling · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-19
Call 1 — Left Voicemail
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Asthenia, Blood sodium decreased, Diarrhoea, Full blood count abnormal, Gastroenteritis viral, Hepatic enzyme increased, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had low blood count, low Sodium, elev. Liver enzymes, felt very weak, had diarrhea x 2 days. Dr. said was probably stomach virus. Dr. said to drink 2 gatorades/day for a little over a week and repeat labs, they were back to normal. · Healthcare visit (other): Dr. Office, labs

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-04-22
Dose 4 — Moderna
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Somnolence — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Drowsiness

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Survey response — day 21, dose 4
MedDRA: Arthralgia, Impaired driving ability, Joint lock, Pain in extremity, Tendon pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain in Achilles tendon from foot to R posterior knee, unable to bend knee d/t pain, can't drive, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Survey response — 3 months, dose 4
MedDRA: Back pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low back pain · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-26
Call 1 — Left Voicemail
2022-07-26
Call 2 — Left Voicemail
2022-07-26
Call 2 — Left Voicemail
2022-07-26
Call 1 — Left Voicemail
2022-10-28
Dose 5 — Pfizer-BioNTech
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-01
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: This sounds weird but with this and the other 4 vaccinations 8 had pain incthe opposite arm/ shoulder than the side injected. Maybe I roll to that side in my sleep to avoid sore injection site?

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-03
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Waking up daily with nightmares, haven't had one for years.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 21, dose 5
MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea daily, vomiting x2

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired all the time.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-28
Survey response — 6 months, dose 5
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-03-30	Moderna
3	2021-10-26	Moderna	No
4	2022-04-22	Moderna	No
5	2022-10-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Unsuccessful
2021-04-27	Unsuccessful
2022-01-25	Unsuccessful
2022-07-22	Unsuccessful

Free text

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Saw Opthalmologist yesterday for L eye pain, new onset streaks of light and new big floater in left field of vision, likely age-related. Reaction to #1 vaxx was chills, sweats, muscle aches, profound weakness, and BOTH arms sore for around a week. cut off by CDC

Healthcare visit (other): Opthalmologist

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Felt close to fainting 3 times today, very weak, sweating profusely. Had severe teeth chattering first night so teeth sore.

2021-04-03

Systemic reaction (other): I get drenched in sweat for no reason,am weak and at times feel wobbly/unsteady.

2021-04-04

Systemic reaction (other): Brain fog continues, weakness, light headed at times, start sweating profusely for no reason, but feel a little better than yesterday so hopeful this will soon end. I have never taken my temp but don't feel feverish.

2021-04-05

Systemic reaction (other): Still feel weak and sweaty but a little better than yesterday.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Still a little weak and sweaty, but much better than yesterday!

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Both knees seem to pop painfully at times when I'm walking, never did that before. Also, now seem to have severe back strain but didn't really do anything to bring it on. Probably just old age.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Had severe back pain and new knee issues. Saw Dr., he said was ligament strain and recommended Voltaren gel. Still have black floaters and flashes of light to left eye, seeing Opthamologist again May 3 for follow up. All are probably age-related.

Healthcare visit (other): Reg. Dr. Office visit

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Back pain got worse, could barely walk but much better now after medication.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Really bad back pain and knee strain for which I saw Dr. 2 weeks ago, and eye issues saw Opthamologist for last week. Both could be R/T holding Prednisone before and after each Vax. I am back on the medication now and I guess it will just take time cut off by CDC

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Had low blood count, low Sodium, elev. Liver enzymes, felt very weak, had diarrhea x 2 days. Dr. said was probably stomach virus. Dr. said to drink 2 gatorades/day for a little over a week and repeat labs, they were back to normal.

Healthcare visit (other): Dr. Office, labs

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Drowsiness

Release 11 — day 21, dose 4

2022-05-13

Symptoms: Pain in Achilles tendon from foot to R posterior knee, unable to bend knee d/t pain, can't drive, etc.

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Low back pain

Healthcare visit (other): Office visit

Release 12 — days 1–6 daily, dose 5

2022-11-01

Systemic reaction (other): This sounds weird but with this and the other 4 vaccinations 8 had pain incthe opposite arm/ shoulder than the side injected. Maybe I roll to that side in my sleep to avoid sore injection site?

2022-11-03

Systemic reaction (other): Waking up daily with nightmares, haven't had one for years.

Release 12 — day 21, dose 5

2022-11-18

Symptoms: Nausea daily, vomiting x2

Release 12 — day 35, dose 5

2022-12-02

Symptoms: Very tired all the time.

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	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blood sodium decreased	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Eye disorder	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Full blood count abnormal	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Hepatic enzyme increased	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Impaired driving ability	·	·	✓
SD	Joint injury	✓	✓	✓
SD	Joint lock	·	·	✓
SD	Joint noise	✓	✓	✓
SD	Ligament disorder	✓	✓	✓
SD	Muscle strain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Tendon pain	·	·	✓
SD	Vitreous floaters	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Presyncope	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Toothache	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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