YRS-32999-54795

4 vaccinations 7 coded responses 31 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 766 / TX
Registered: 2021-01-02

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-02
Registered in v-safe
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Erythema, Fatigue, Headache, Localised oedema, Muscle spasms, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I was very fatigued with a headache day 3. Had mild headache day 2. Had muscle cramps within 8 hours of injection which subsided overnight. Cramps/spasms were in my feet. Mild bilateral ankle arthralgia day 2 which subsided by day 3. Today is day 4 and feel fine except the itching with mild local erythema/swelling which is improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Survey response — day 0, dose 2
MedDRA: Dyspnoea, Immediate post-injection reaction — Feeling: Good · Site: Itching · Joint pains

Free text: I had a slight short breath or difficult taking a deep breath within the first hour after. But that has now passed and breathing normally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Night sweats — Feeling: Good · Site: Redness, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Could not get warm all day 2 (Friday) sweat it out Saturday night during sleep. Feel best today of the three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 42, dose 2
MedDRA: Arthralgia, Bleeding time prolonged, Haemorrhage, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am having joint pains. Not sure if related to vaccine but have occurred since vaccine #2. Also, some prolonged bleeding/clotting with cuts and scrapes. cant say positive relationship but occurring since 2nd dose. Have not been to HCP for either

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Moderna
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-17
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint pains. Viral illness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Cough, Gastrointestinal disorder, Influenza — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Had bad flu with lingering cough. Have developed a GI condition still being investigated. Arthralgias.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-05-11
Dose 4 — Moderna
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Joint pains

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-12
Survey response — 6 months, dose 4
MedDRA: Bradycardia, Dyspnoea, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bradycardia, dyspnea, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-15
Call 2 — Left Voicemail
2022-11-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-18	Moderna	No
4	2022-05-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-20	Unsuccessful
2022-11-12	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): I was very fatigued with a headache day 3. Had mild headache day 2. Had muscle cramps within 8 hours of injection which subsided overnight. Cramps/spasms were in my feet. Mild bilateral ankle arthralgia day 2 which subsided by day 3. Today is day 4 and feel fine except the itching with mild local erythema/swelling which is improving.

Release 2 — day 0, dose 2

2021-01-28

Systemic reaction (other): I had a slight short breath or difficult taking a deep breath within the first hour after. But that has now passed and breathing normally.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Could not get warm all day 2 (Friday) sweat it out Saturday night during sleep. Feel best today of the three days.

Release 5 — day 42, dose 2

2021-03-11

Symptoms: I am having joint pains. Not sure if related to vaccine but have occurred since vaccine #2. Also, some prolonged bleeding/clotting with cuts and scrapes. cant say positive relationship but occurring since 2nd dose. Have not been to HCP for either

Release 10 — 3 months, dose 3

2022-01-17

Symptoms: Joint pains. Viral illness.

Release 11 — 6 months, dose 3

2022-04-20

Symptoms: Had bad flu with lingering cough. Have developed a GI condition still being investigated. Arthralgias.

Release 12 — 6 months, dose 4

2022-11-12

Symptoms: Bradycardia, dyspnea, fatigue

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	Arthralgia	✓	✓	✓
SD	Bleeding time prolonged	·	·	✓
SD	Bradycardia	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Haemorrhage	✓	✓	○
SD	Influenza	·	·	✓
SD	Thrombosis	✓	✓	○
SD	Viral infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Localised oedema	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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