YRF-10232-50202

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-01-21

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

2021-01-19
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Much Increased arthritis pain. So couldn't sleep thru the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hot Flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 21, dose 2
MedDRA: Palpitations, Sciatica — Feeling: Fair

Free text: Sciatica and heart palpitations both worse. Palpitations not the worst I have experienced.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Breast mass, Pulmonary mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: 1. lung spots (7) to be followed up with biopsy.2. Several fast growing Breast lumps to get ultrasound exam. · Healthcare visit (other): In person cat scans, ultrasounds and PET CT scan.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Computerised tomogram abnormal, Malaise, Pneumonia, Pneumonitis, Pulmonary mass, Unevaluable event — Feeling: Good · 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: Symptoms: CT found spots in lung. Followed up with pet scan and ct with contrast. At first they mult. & grew very fast, in both lungs then mostly resolved. Follow up ea. 6 mos now. Dx: inflam or infection. Recently: Covid symptoms- mild · Healthcare visit (other): CTs and PET CT

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 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 · 1 call case(s)
2022-02-24
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-25	Unsuccessful
2022-02-23	Successful 2022-02-24	Does not wish to fill out VAERS report

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Much Increased arthritis pain. So couldn't sleep thru the night

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Hot Flashes

Release 5 — day 21, dose 2

2021-03-15

Symptoms: Sciatica and heart palpitations both worse. Palpitations not the worst I have experienced.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: 1. lung spots (7) to be followed up with biopsy.2. Several fast growing Breast lumps to get ultrasound exam.

Healthcare visit (other): In person cat scans, ultrasounds and PET CT scan.

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: CT found spots in lung. Followed up with pet scan and ct with contrast. At first they mult. & grew very fast, in both lungs then mostly resolved. Follow up ea. 6 mos now. Dx: inflam or infection. Recently: Covid symptoms- mild

Healthcare visit (other): CTs and PET CT

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	Unevaluable event	✓	·	✓
SD	Breast mass	✓	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Malaise	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pneumonitis	·	·	✓
SD	Pulmonary mass	✓	·	✓
SD	Sciatica	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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