YSN-15219-10526

3 vaccinations 10 coded responses 23 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 441 / OH
Registered: 2021-01-30

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

2021-01-24
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Survey response — day 14, dose 1
MedDRA: Nausea — Feeling: Good

Free text: Nausea on Wednesday 2/3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just arm pain in the deltoid of the injection

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: Good · Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 28, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair

Free text: Nasal congestion this week and a flare in my rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Office visit, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rheumatoid flare and began methotrexate 5 weeks ago. · Healthcare visit (other): Rheumatology

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-11
Dose 3 — Moderna
2021-10-01
Survey response — day 14, dose 3
MedDRA: Body temperature increased, Bronchospasm, Sinus congestion, Wheezing — Feeling: Good

Free text: I had brochospasm and completely full nasal sinus congestion 14 hours after my Moderna booster. Temp was 99.9 for 48 hours. The wheeze was removed with albuterol. The sinuses cleared in the AM.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good

Free text: I had really bad diarrhea last night, but I had my methotrexate for RA 28 hours prior. That could be it.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 28, dose 3
MedDRA: Asthma, Cough, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Wheezing. I had an asthma attack 14 hours after Moderna. I don't have asthma. Then I've been wheezing at night all last week. Mild dry cough at night. Used albuterol a few times. Started Zyrtec.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-18
Call 1 — Left Voicemail
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2021-12-12
Survey response — 3 months, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: I had an Arthus reaction to my second Shingrex vaccine. My first was 7/5 and my second was 12/3.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Survey response — 6 months, dose 3
MedDRA: Carpal tunnel syndrome, Electromyogram abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have bilateral carpel tunnel. I've never had that before. EMg confirmed

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call 1 — Left Voicemail
2022-09-11
Survey response — 12 months, dose 3
MedDRA: COVID-19, Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rheumatoid arthritis flare and POTS flare after contracting Covid 5.17.22

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call successful
Participant prefers to complete VAERS report online
2022-09-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-09-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-22	Successful 2021-10-21	Participant prefers to complete VAERS report online
2021-10-14	Successful 2021-10-21	Participant prefers to complete VAERS report online
2022-03-14	Successful 2022-09-12	Participant prefers to complete VAERS report online
2022-09-11	Successful 2022-09-12	Participant prefers to complete VAERS report online

Free text

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Nausea on Wednesday 2/3

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Just arm pain in the deltoid of the injection

Release 6 — day 28, dose 2

2021-03-21

Symptoms: Nasal congestion this week and a flare in my rheumatoid arthritis

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Rheumatoid flare and began methotrexate 5 weeks ago.

Healthcare visit (other): Rheumatology

Release 9 — day 14, dose 3

2021-10-01

Symptoms: I had brochospasm and completely full nasal sinus congestion 14 hours after my Moderna booster. Temp was 99.9 for 48 hours. The wheeze was removed with albuterol. The sinuses cleared in the AM.

Release 9 — day 21, dose 3

2021-10-02

Symptoms: I had really bad diarrhea last night, but I had my methotrexate for RA 28 hours prior. That could be it.

Release 10 — day 28, dose 3

2021-10-14

Symptoms: Wheezing. I had an asthma attack 14 hours after Moderna. I don't have asthma. Then I've been wheezing at night all last week. Mild dry cough at night. Used albuterol a few times. Started Zyrtec.

Release 10 — 3 months, dose 3

2021-12-12

Symptoms: I had an Arthus reaction to my second Shingrex vaccine. My first was 7/5 and my second was 12/3.

Release 11 — 6 months, dose 3

2022-03-14

Symptoms: I have bilateral carpel tunnel. I've never had that before. EMg confirmed

Release 12 — 12 months, dose 3

2022-09-11

Symptoms: Rheumatoid arthritis flare and POTS flare after contracting Covid 5.17.22

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	Adverse reaction	·	·	✓
SD	Asthma	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Bronchospasm	·	·	✓
SD	Carpal tunnel syndrome	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Electromyogram abnormal	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Wheezing	·	·	✓
SRO	Injection site pain	✓	✓	✓

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