YUM-30395-24100

4 vaccinations 9 coded responses 35 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 284 / NC
Registered: 2021-04-26

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-20
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — day 14, dose 1
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Nauseated and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-05-19
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, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Medical counselling, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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): Sore throat, numbness in some of my fingers on my left hand (arm where vaccine was given) · Healthcare visit (other): Emailed my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
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)
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat and numbness in some of the fingers of my left hand (vaccine was administered in left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 21, dose 2
MedDRA: Migraine — Feeling: Poor · 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: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Anxiety, Fall, Gait disturbance, Headache, Migraine, Pre-existing disease, Rash — 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 · Telehealth, virtual health, or email health consultation

Free text: Ongoing headaches/migraines, unsteady balance, a fall, skin broke out on neck and chest, and increased anxiety

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 3 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)
2021-08-19
Call 1 — Left Voicemail
2021-11-16
Survey response — 6 months, dose 2
MedDRA: Fall, Migraine, Pain, Skin disorder, Visual impairment — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Migraines, body aches, vision issues, skin issues and a couple of falls (no tripping involved)

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call 1 — Requested Callback
2021-11-18
Call 2 — Left Voicemail
2021-11-18
Callback requested for
02:30PM ET
2022-01-04
Dose 3 — Moderna
2022-05-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-08
Dose 4 — Moderna
Co-administered: Flu
2022-10-08
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-07
Survey response — 3 months, dose 4
MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna
3	2022-01-04	Moderna	No
4	2022-10-08	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Unsuccessful
2021-06-08	Unsuccessful
2021-08-17	Unsuccessful
2021-11-16	Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-05-04

Symptoms: Nauseated and headache

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Sore throat, numbness in some of my fingers on my left hand (arm where vaccine was given)

Healthcare visit (other): Emailed my PCP

2021-05-22

Systemic reaction (other): Sore throat and numbness in some of the fingers of my left hand (vaccine was administered in left arm)

2021-05-23

Systemic reaction (other): Migraine

2021-05-24

Systemic reaction (other): Migraine

Release 8 — day 21, dose 2

2021-06-08

Symptoms: Migraine

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: Ongoing headaches/migraines, unsteady balance, a fall, skin broke out on neck and chest, and increased anxiety

Release 10 — 6 months, dose 2

2021-11-16

Symptoms: Migraines, body aches, vision issues, skin issues and a couple of falls (no tripping involved)

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	Anxiety	✓	·	✓
SD	Fall	✓	·	✓
SD	Gait disturbance	✓	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	✓	·	✓
SD	Skin disorder	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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