YUK-63172-44779

2 vaccinations 14 coded responses 27 check-ins 14 free-text entries 10 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 410 / KY
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Toothache — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Teeth pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Neck pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Neck pain/muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Anosmia, Hypogeusia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Loss of smell and very diminished taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 1
MedDRA: Headache, Office visit, Rash — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache and rash · Healthcare visit (other): Family doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 35, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Office visit, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sore throat and earache · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat and earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Sore throat and swollen lymph node in neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 2
MedDRA: Anxiety, Asthenia, Office visit, Pharyngeal disorder, Therapy change — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: After 2nd vaccine I developed symptoms of strep. My symptoms continued to get worse and then I discovered I was having serious debilitating anxiety attacks. I have saw my primary care physician and he has adjusted my meds until I see a therapist · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 21, dose 2
MedDRA: Anxiety, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Worsening anxiety disorder · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Anxiety disorder, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anxiety disorder · Healthcare visit (other): Primary care physician and therapist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 42, dose 2
MedDRA: Anxiety disorder, Cervical radiculopathy, Office visit — Feeling: Good · Be unable to work, 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: Symptoms: Anxiety disorder and cervical radiculopathy · Healthcare visit (other): Primary care physician and therapist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Hepatic enzyme increased, Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Hospitalized for a week with elevated liver enzymes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Emergency care, Gastric disorder, Nausea, Office visit, Pain — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Still having stomach issues since the last check in with multiple ER visits for pain and nausea relief. I saw my primary care physician and GI doctor but still have no diagnosis! Family physician did mention antibody testing? · Healthcare visit (other): Family physician visit in person

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-07
Call successful
Participant prefers to complete VAERS report online
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Anxiety disorder, Flank pain, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm still suffering from right sided pain. I have seen and been cleared by a urologist but am now awaiting an appointment with a neurosurgeon. I am also still suffering with anxiety issues that had gotten better but are now back. · Healthcare visit (other): In person visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-03	Successful	Participant prefers to complete VAERS report online
2021-02-24	Successful	Participant prefers to complete VAERS report online
2021-03-02	Successful	Participant prefers to complete VAERS report online
2021-03-12	Successful	Participant prefers to complete VAERS report online
2021-03-19	Successful	Participant prefers to complete VAERS report online
2021-04-02	Successful	Participant prefers to complete VAERS report online
2021-04-09	Successful	Participant prefers to complete VAERS report online
2021-05-30	Successful	Participant prefers to complete VAERS report online
2021-08-29	Successful 2021-09-07	Participant prefers to complete VAERS report online
2022-02-27	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Teeth pain

2021-01-25

Systemic reaction (other): Neck pain/muscle spasms

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Loss of smell and very diminished taste

Release 4 — day 35, dose 1

2021-02-24

Symptoms: Headache and rash

Healthcare visit (other): Family doctor

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Sore throat and earache

Healthcare visit (other): Primary care physician

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Sore throat and earache

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Sore throat and swollen lymph node in neck.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: After 2nd vaccine I developed symptoms of strep. My symptoms continued to get worse and then I discovered I was having serious debilitating anxiety attacks. I have saw my primary care physician and he has adjusted my meds until I see a therapist cut off by CDC

Healthcare visit (other): Primary care physician

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Worsening anxiety disorder

Healthcare visit (other): Primary care physician

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Anxiety disorder

Healthcare visit (other): Primary care physician and therapist

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Anxiety disorder and cervical radiculopathy

Healthcare visit (other): Primary care physician and therapist

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Hospitalized for a week with elevated liver enzymes

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Still having stomach issues since the last check in with multiple ER visits for pain and nausea relief. I saw my primary care physician and GI doctor but still have no diagnosis! Family physician did mention antibody testing?

Healthcare visit (other): Family physician visit in person

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: I'm still suffering from right sided pain. I have seen and been cleared by a urologist but am now awaiting an appointment with a neurosurgeon. I am also still suffering with anxiety issues that had gotten better but are now back.

Healthcare visit (other): In person visit

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	Anosmia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Anxiety disorder	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cervical radiculopathy	✓	✓	✓
SD	Emergency care	✓	·	✓
SD	Flank pain	·	·	✓
SD	Gastric disorder	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hepatic enzyme increased	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypogeusia	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pharyngeal disorder	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Therapy change	○	✓	○
SRO	Ear pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Toothache	✓	✓	✓

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