YUP-94489-84512

2 vaccinations 9 coded responses 26 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-01-23

Relationship: Self
Race: Asian
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
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness on forearm and left scapula

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to work

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea · Be unable to work

Free text: Moderate unexplained pain on right side of body including leg and arm

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: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 1
MedDRA: Arthralgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Right shoulder pain for past 3 days . Very painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 28, dose 1
MedDRA: Amnesia, Fatigue, Myalgia, Pain in extremity, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Persisten fatigue , worsening of foot pain, memory loss, muscle pain · Healthcare visit (other): Getting surgery on feb 23

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture, Massage — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Acupuncturist and massage therapist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 14, dose 2
MedDRA: Eczema — Feeling: Fair

Free text: Eczema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 28, dose 2
MedDRA: Migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Migraine headaches. They come and go ever since my first dose. Ive never had migraines before. Articles say it is self limiting but its been 8-9 weeks now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued headaches. Not new but persistent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 35, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 42, dose 2
MedDRA: Headache, Migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continuing headache/migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call successful
Participant prefers to complete VAERS report online
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-20	Successful	Participant prefers to complete VAERS report online
2021-03-01	Successful	Participant prefers to complete VAERS report online
2021-03-27	Successful	Participant prefers to complete VAERS report online
2021-04-03	Successful 2021-06-10	Participant prefers to complete VAERS report online
2021-04-10	Successful	Participant prefers to complete VAERS report online

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): Numbness on forearm and left scapula

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Moderate unexplained pain on right side of body including leg and arm

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Right shoulder pain for past 3 days . Very painful

Release 4 — day 28, dose 1

2021-02-20

Symptoms: Persisten fatigue , worsening of foot pain, memory loss, muscle pain

Healthcare visit (other): Getting surgery on feb 23

Release 4 — days 1–6 daily, dose 2

2021-03-01

Healthcare visit (other): Acupuncturist and massage therapist

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Eczema

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Migraine headaches. They come and go ever since my first dose. Ive never had migraines before. Articles say it is self limiting but its been 8-9 weeks now.

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Continued headaches. Not new but persistent

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Continuing headache/migraine

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	Acupuncture	✓	✓	✓
HCVO	Massage	✓	✓	✓
HCVO	Surgery	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Eczema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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