YUR-17670-25047

3 vaccinations 10 coded responses 29 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 603 / IL
Registered: 2021-04-07

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: slightly enlarged lymph node/s near the clavicle bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Enlarged lymph node/s near the clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: Site of injection is hot to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Office visit, Thyroid pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: One side of thyroid seems to be painful to touch but not sure if this is related to the vaccine. Out of abundance of caution, I had previously scheduled routine physical with my doctor for tomorrow; I will bring this up during my visit. · Healthcare visit (other): just seeing my doctor in person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 28, dose 2
MedDRA: Hyperthyroidism — Feeling: Poor · 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: I have been to a number of doctors and it looks like I have a hyper active thyroid. This is the first time I have had this issue. I have more doctor visits and diagnostic appointments to figure what is the underlying issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — day 35, dose 2
MedDRA: Hyperthyroidism, Office visit, Thyroid disorder — 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, Outpatient clinic or urgent care clinic visit

Free text: I still have the issue with the overactive thyroid. I have been to an endocrinologist but there is still more diagnostics ordered to figure out the underlying issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Survey response — day 42, dose 2
MedDRA: Hyperthyroidism, Thyroiditis subacute — Feeling: Poor · 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: As follow up from last check-in, after a number of tests, there is finally a diagnosis; I have subacute thyroiditis (with sever hyperthyroid) which started on May 21. There are more tests which Ill talk about at the next check in, if one exists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — day 42, 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)
2021-06-21
Call 1 — Left Voicemail
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Hypothyroidism, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit

Free text: In the new phase of my ongoing subacute thyroiditis issue, my thyroid is now hypoactive. I have to clarify that this wont change the fact that I will still get the vaccine in a heart beat, e.g. if or when a third booster shot becomes available.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Call 1 — Left Voicemail
2021-12-31
Dose 3 — Pfizer-BioNTech
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis — Feeling: Fair · Fatigue or tiredness

Free text: Noticing some nose bleeds today, not sure if it's related to vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-01-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have unexplained headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-12-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Unsuccessful
2021-06-02	Unsuccessful
2021-06-09	Unsuccessful
2021-06-16	Unsuccessful
2021-08-04	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): slightly enlarged lymph node/s near the clavicle bone

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Enlarged lymph node/s near the clavicle

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Site of injection is hot to touch.

Release 8 — day 21, dose 2

2021-05-26

Symptoms: One side of thyroid seems to be painful to touch but not sure if this is related to the vaccine. Out of abundance of caution, I had previously scheduled routine physical with my doctor for tomorrow; I will bring this up during my visit.

Healthcare visit (other): just seeing my doctor in person

Release 8 — day 28, dose 2

2021-06-02

Symptoms: I have been to a number of doctors and it looks like I have a hyper active thyroid. This is the first time I have had this issue. I have more doctor visits and diagnostic appointments to figure what is the underlying issue.

Release 9 — day 35, dose 2

2021-06-09

Symptoms: I still have the issue with the overactive thyroid. I have been to an endocrinologist but there is still more diagnostics ordered to figure out the underlying issue.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: As follow up from last check-in, after a number of tests, there is finally a diagnosis; I have subacute thyroiditis (with sever hyperthyroid) which started on May 21. There are more tests which Ill talk about at the next check in, if one exists.

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: In the new phase of my ongoing subacute thyroiditis issue, my thyroid is now hypoactive. I have to clarify that this wont change the fact that I will still get the vaccine in a heart beat, e.g. if or when a third booster shot becomes available.

Release 10 — days 1–6 daily, dose 3

2022-01-04

Systemic reaction (other): Noticing some nose bleeds today, not sure if it's related to vaccine

Release 11 — day 28, dose 3

2022-01-28

Symptoms: I have unexplained headaches

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	Condition aggravated	✓	·	✓
SD	Headache	·	·	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Hypothyroidism	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Thyroid disorder	○	✓	○
SD	Thyroid pain	✓	✓	✓
SD	Thyroiditis subacute	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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