YTC-32832-98042

4 vaccinations 9 coded responses 45 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 992 / WA
Registered: 2021-02-01

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

2021-01-23
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
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: Cough, Pre-existing disease, Pulmonary congestion, Self-medication, Sinus congestion — Feeling: Fair

Free text: I have had sinus congestion, some mild lung congestion and a mild cough for the past few days. I do have asthma but this is not asthma. I took an allergy medication this morning to see if it will help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild hives that I have been treating with Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Itching

Free text: Mild hives off and on throughout the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I still have mild hives that Benadryl controls.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Unevaluable event, Urticaria — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Mild hives treat with Benadryl · Healthcare visit (other): We visited about my hives and will continue with Benadryl as needed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Very mild hives today; no Benadryl needed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Allergies and hives related to pine pollen. Received a Kenalog shot to help control symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-06-16
Call 2 — Left Voicemail
2021-06-17
Call 3 — Left Voicemail
2021-06-25
Call successful
Participant prefers to complete VAERS report online
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Vertigo positional — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Benign Paroxysmal positional vertigo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2021-08-25
Call successful
Participant prefers to complete VAERS report online
2021-10-27
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Urticaria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mild hives

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-18
Health check-in — 12 months, dose 4
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-10-27	Moderna	No
4	2022-04-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-24	Successful	Participant prefers to complete VAERS report online
2021-05-22	Successful 2021-06-25	Participant prefers to complete VAERS report online
2021-08-21	Successful 2021-08-25	Participant prefers to complete VAERS report online

Free text

Release 3 — day 14, dose 1

2021-02-07

Symptoms: I have had sinus congestion, some mild lung congestion and a mild cough for the past few days. I do have asthma but this is not asthma. I took an allergy medication this morning to see if it will help.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Mild hives that I have been treating with Benadryl.

2021-02-22

Systemic reaction (other): Mild hives off and on throughout the day.

2021-02-23

Systemic reaction (other): I still have mild hives that Benadryl controls.

2021-02-24

Systemic reaction (other): Mild hives treat with Benadryl

Healthcare visit (other): We visited about my hives and will continue with Benadryl as needed.

2021-02-25

Systemic reaction (other): Very mild hives today; no Benadryl needed.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Allergies and hives related to pine pollen. Received a Kenalog shot to help control symptoms.

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Benign Paroxysmal positional vertigo

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Mild hives

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	Unevaluable event	✓	✓	✓
SD	Asthma	○	○	○
SD	Cough	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary congestion	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vertigo positional	✓	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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