YRV-14000-66253

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 051 / VT
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

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

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Chest pain, Fatigue, Nasopharyngitis, Productive cough, Rhinorrhoea — Feeling: Good

Free text: Cold symptoms - productive cough, some burning in chest and coughing up phlegm, tiredness, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Ear pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Ear fullness and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort, Muscle twitching — Feeling: Fair · Joint pains

Free text: Pressure in head, twinging in nerves with previous issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Headache

Free text: Runny nose, sinus pressure, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Head discomfort, Tremor — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Pressure in the top of my head, shakiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Cough, Head discomfort, Paranasal sinus discomfort, Productive cough, Sinusitis, Tension headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pressure in my head and sinuses, increased pressure in the back of my head and tension in my neck, cough, possible sinus infection, ongoing dry cough, occassional productice cough, chest heaviness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Fair

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

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Call 1 — Could Not Reach Participant
2021-12-21
Call 2 — Could Not Reach Participant
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Migraine, Nausea, Vertigo — Feeling: Fair · 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: Health is fair to poor on most days. Increase in headaches, dizziness, nausea, vertigo, migraines, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 months, dose 2
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)
2022-02-28
Call 1 — Could Not Reach Participant
2022-03-08
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Unsuccessful
2022-02-26	Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Cold symptoms - productive cough, some burning in chest and coughing up phlegm, tiredness, runny nose

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Ear fullness and pain

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Pressure in head, twinging in nerves with previous issues

2021-03-04

Systemic reaction (other): Runny nose, sinus pressure, light headed

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Pressure in the top of my head, shakiness

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Pressure in my head and sinuses, increased pressure in the back of my head and tension in my neck, cough, possible sinus infection, ongoing dry cough, occassional productice cough, chest heaviness

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Health is fair to poor on most days. Increase in headaches, dizziness, nausea, vertigo, migraines, 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	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Tension headache	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tremor	✓	✓	✓

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