YV8-14250-08354

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 208 / MD
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Survey response — day 0, dose 1
MedDRA: Dry mouth — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Dry Mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Dysgeusia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dry mouth and metallic taste

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: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

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

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Fatigue, Rash — Feeling: Good

Free text: Developed a rash, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have been experiencing fatigue since my 2nd vaccine and its getting worse, i have scheduled a doctor's appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: The fatigue sonce my second dose has been getting worse and is causing me to not be able to do my previous daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have POTS that was well managed until my second vaccine. It has been getting progressively worse since the second dose. I am having trouble with daily functioning at this point

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Call successful
Does not wish to fill out VAERS report
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-21
Survey response — 12 months, dose 2
MedDRA: Brain fog — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I feel like i was in a fog

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Successful 2021-06-11	Does not wish to fill out VAERS report
2022-02-21	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Dry Mouth

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Dry mouth and metallic taste

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Developed a rash, fatigue

Release 5 — day 28, dose 2

2021-03-19

Symptoms: I have been experiencing fatigue since my 2nd vaccine and its getting worse, i have scheduled a doctor's appointment

Release 6 — day 35, dose 2

2021-03-26

Symptoms: The fatigue sonce my second dose has been getting worse and is causing me to not be able to do my previous daily activities

Release 6 — day 42, dose 2

2021-04-02

Symptoms: I have POTS that was well managed until my second vaccine. It has been getting progressively worse since the second dose. I am having trouble with daily functioning at this point

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: I feel like i was in a fog

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
SD	Brain fog	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓

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