YSA-87689-20494

3 vaccinations 17 coded responses 35 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 350 / AL
Registered: 2021-02-25

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

2021-02-24
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Site: Pain · Fever · Headache

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Good · Site: Pain

Free text: Not 100% energy about 75%

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Little soar throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Mild Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspepsia, Irritability — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chwst pain, indigestion, irritated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Irritability — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Chest pain, irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperacusis — Feeling: Fair · Site: Pain · Headache

Free text: Ability to hear and sensitivity to high pitch sounds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Impaired healing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Hearing high pitch frequency in voices or dog barks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Still hear high pitch tones in voices etc...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Cough — Feeling: Poor · 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: A persistent cough that turned into pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call successful
Does not wish to fill out VAERS report
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: For the past week a lot of fatigue and headaches for no apparent reason.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Dose 3 — Moderna
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Good · Site: Pain

Free text: Heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-03
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna
3	2021-12-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-23	Successful 2021-06-30	Does not wish to fill out VAERS report

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Hot flashes

2021-02-27

Systemic reaction (other): Hot flashes

2021-02-28

Systemic reaction (other): Not 100% energy about 75%

2021-03-02

Systemic reaction (other): Little soar throat

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Mild Sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Chwst pain, indigestion, irritated

2021-03-26

Systemic reaction (other): Chest pain, irritability

2021-03-27

Systemic reaction (other): Irritability

2021-03-28

Systemic reaction (other): Ability to hear and sensitivity to high pitch sounds

2021-03-29

Systemic reaction (other): Hearing high pitch frequency in voices or dog barks

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Still hear high pitch tones in voices etc...

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: A persistent cough that turned into pneumonia

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: For the past week a lot of fatigue and headaches for no apparent reason.

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Itching

2021-12-06

Systemic reaction (other): Heartburn

2021-12-07

Systemic reaction (other): Heartburn

2021-12-08

Systemic reaction (other): Heartburn

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	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperacusis	✓	✓	✓
SRO	Impaired healing	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Tinnitus	✓	✓	✓

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