YUE-11258-66898

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 786 / TX
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: Fair · Chills, Nausea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Good

Free text: Large rash on upper arm where I received the shot. It did not itch or hurt but it was ENORMOUS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 2
MedDRA: Dysphagia, Mass, Oropharyngeal pain, Sensation of foreign body — Feeling: Good

Free text: A lump in my throat feeling. Started one week ago. Its not like a sore throat...its like a lump when I swallow, with soreness outside of my throat....more like in my neck...when swallowing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 28, dose 2
MedDRA: Blood test abnormal, Fatigue, Neck pain, Office visit, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have been feeling tired, sore, etc, and my neck hurts on the right side. Recent blood tests show that my thyroid is low. I had an ultrasound today...dont know the results yet. · Healthcare visit (other): Ultra sound center

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
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
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call 1 — Left Voicemail
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Gingival pain, Toothache, Vaccine positive rechallenge — Feeling: Good · Site: Pain, Redness, Swelling

Free text: A strange pain in my teeth and gums. Same thing happened after my other Covid shots me that ago. Then it eventually went awayand I forgot about it until now! Weird coincidence?

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Hypothyroidism, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Swelling

Free text: I'm wondering if the Covid vaccine is related to the thyroid problems that I developed in March/April 2021after my first two shots? Because I'm experiencing the same symptoms of hypothyroidism that I developed for the first time after my first shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Thyroiditis, Vaccine positive rechallenge — Feeling: Good

Free text: Thyroiditis symptoms have returned like they did after my second vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 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	2021-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-26

Symptoms: Large rash on upper arm where I received the shot. It did not itch or hurt but it was ENORMOUS.

Release 6 — day 21, dose 2

2021-03-26

Symptoms: A lump in my throat feeling. Started one week ago. Its not like a sore throat...its like a lump when I swallow, with soreness outside of my throat....more like in my neck...when swallowing.

Release 6 — day 28, dose 2

2021-04-02

Symptoms: I have been feeling tired, sore, etc, and my neck hurts on the right side. Recent blood tests show that my thyroid is low. I had an ultrasound today...dont know the results yet.

Healthcare visit (other): Ultra sound center

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): A strange pain in my teeth and gums. Same thing happened after my other Covid shots me that ago. Then it eventually went awayand I forgot about it until now! Weird coincidence?

2021-10-30

Systemic reaction (other): I'm wondering if the Covid vaccine is related to the thyroid problems that I developed in March/April 2021after my first two shots? Because I'm experiencing the same symptoms of hypothyroidism that I developed for the first time after my first shot cut off by CDC

2021-10-31

Systemic reaction (other): Thyroiditis symptoms have returned like they did after my second vaccine.

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	Blood test abnormal	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SRO	Gingival pain	·	·	✓
SRO	Hypothyroidism	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Thyroiditis	·	·	✓
SRO	Toothache	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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