YTB-18498-07960

3 vaccinations 10 coded responses 34 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 017 / MA
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Chills

Free text: Post nasal drip feeling - slight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness

Free text: Not sure if related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Survey response — day 14, dose 1
MedDRA: Tenderness — Feeling: Fair

Free text: Slightly tender left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt a little sinus-y too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Hypoaesthesia, Immediate post-injection reaction — Feeling: Fair

Free text: Less than one hour post shot - numbness in left hand and arm.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Eyelid sensory disorder, Feeling cold, Feeling hot, Hypoaesthesia, Medical counselling — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Traveling numbness yesterday in multiple areas of my body - left arm/hand, feet, legs, left cheek, left eye, left hip, right side of neck. Felt like novocaine, sometimes felt hot or cool in the same area. Called doctor on call but he wasn't worried · Healthcare visit (other): Called doctor on call last night

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — days 1–6 daily, dose 3
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)
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Slight congestion this morning, slightly sore throar

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Left armpit lymph node swollen for 2-3 days

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Lymph node in left armpit tender

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Call 1 — Left Voicemail
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

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

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-10-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-30	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Post nasal drip feeling - slight

2021-02-09

Systemic reaction (other): Not sure if related?

Release 4 — day 14, dose 1

2021-02-20

Symptoms: Slightly tender left armpit

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Felt a little sinus-y too

2021-03-07

Systemic reaction (other): Some chest tightness

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Less than one hour post shot - numbness in left hand and arm.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Traveling numbness yesterday in multiple areas of my body - left arm/hand, feet, legs, left cheek, left eye, left hip, right side of neck. Felt like novocaine, sometimes felt hot or cool in the same area. Called doctor on call but he wasn't worried cut off by CDC

Healthcare visit (other): Called doctor on call last night

2021-10-31

Systemic reaction (other): Slight congestion this morning, slightly sore throar

2021-11-02

Systemic reaction (other): Left armpit lymph node swollen for 2-3 days

2021-11-04

Systemic reaction (other): Lymph node in left armpit tender

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	Medical counselling	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Eyelid sensory disorder	·	·	✓
SRO	Feeling cold	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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