YV8-64926-34678

2 vaccinations 12 coded responses 19 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 199 / DE
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Vision blurred — Feeling: Poor · Chills, Headache, Nausea

Free text: Blurry vision

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 · Chills, Muscle or body aches

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

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Impaired work ability, Medical counselling, Office visit — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Occupational Health sent me home from work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Joint swelling, Office visit — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: My knees swelled up. Had to have fluid removed. · Healthcare visit (other): In office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
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)
2021-02-12
Survey response — day 21, dose 1
MedDRA: Fatigue, Feeling of body temperature change, Swelling face — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My right side of my face is swelling. Still having temperature changes. Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Dose 2 — Moderna
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Sinus pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Severe sinus pain. Ear clogged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: My normal body temp is 95*

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Swelling face — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Face swelling, and lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 2
MedDRA: Swelling face — Feeling: Fair · Headache, Nausea

Free text: Swelling in my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Grew a mustache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 28, dose 2
MedDRA: Hypertrichosis, Oedema peripheral, Office visit, Swelling face — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hair growth above my lip. Previously had facial swelling. My edema has increased in my legs. · Healthcare visit (other): Appt with rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — day 35, dose 2
MedDRA: Joint swelling — Feeling: Fair

Free text: Continued swelling in my knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Fatigue, Flatulence, Joint swelling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Dumbly, gassy stomach, joint swelling, fatigue, hair loss, · Healthcare visit (other): Specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-25	Unsuccessful
2021-02-06	Unsuccessful
2021-02-12	Unsuccessful
2021-03-16	Unsuccessful
2021-05-18	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Blurry vision

Release 2 — days 1–6 daily, dose 1

2021-01-25

Healthcare visit (other): Occupational Health sent me home from work

Release 3 — day 14, dose 1

2021-02-06

Symptoms: My knees swelled up. Had to have fluid removed.

Healthcare visit (other): In office visit

Release 4 — day 21, dose 1

2021-02-12

Symptoms: My right side of my face is swelling. Still having temperature changes. Very tired.

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Severe sinus pain. Ear clogged

2021-02-20

Systemic reaction (other): My normal body temp is 95*

2021-02-22

Systemic reaction (other): Face swelling, and lightheaded

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Swelling in my face

Release 5 — day 21, dose 2

2021-03-09

Symptoms: Grew a mustache

Release 5 — day 28, dose 2

2021-03-16

Symptoms: Hair growth above my lip. Previously had facial swelling. My edema has increased in my legs.

Healthcare visit (other): Appt with rheumatologist

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Continued swelling in my knees

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Dumbly, gassy stomach, joint swelling, fatigue, hair loss,

Healthcare visit (other): Specialist

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	Impaired work ability	·	·	✓
HCVO	Medical counselling	✓	✓	○
HCVO	Office visit	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Hypertrichosis	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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