YVD-17071-56014

4 vaccinations 17 coded responses 27 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 334 / FL
Registered: 2021-04-11

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

2021-04-01
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Survey response — day 7, dose 1
MedDRA: Food allergy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe reaction to eating shrimp, which never happened before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Survey response — day 21, dose 1
MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent nausea and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing fits -- feels like your head might explode

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Head discomfort, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, Stuffy head and nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Hives on chest and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Hives are still itchy, but getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Thinking abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neurological, thought processing issues, depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue, Somnolence — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Still having neurological issues, dizziness and extreme fatigue, not feeling rested after sleeping 10 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Fatigue, Urticaria — Feeling: Good · Fatigue or tiredness

Free text: Hives have gone away, still over tired, better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Still having recurring issues with getting hives almost daily, upon touching certain things or eating certain things. But overall feel much better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Asthenia, Dizziness, Dyspnoea, Fatigue, Headache, Hypertension, Unevaluable event — 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

Free text: Symptoms: Headaches, high blood pressure, fatigue and weakness, breathlessness, dizziness · Healthcare visit (other): Scheduled an appointment to see dr this coming week (my vacation off work)

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
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

1 call case(s)
2021-11-01
Call 2 — Could Not Reach Participant
2021-11-05
Call successful
Participant prefers to complete VAERS report online
2021-12-04
Dose 3 — Moderna
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Brain fog, Burning sensation, Fatigue, Hypoaesthesia, Paraesthesia, Temperature intolerance — 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: Numbness/tingling/heat sensation in my left foot. Heat sensitivity leading to extreme fatigue and brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 12 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 · 1 call case(s)
2022-05-02
Call successful
Does not wish to fill out VAERS report
2022-05-14
Dose 4 — Pfizer-BioNTech
2022-05-30
Survey response — day 14, dose 4
MedDRA: Dizziness, Dyspnoea, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, unable to catch breathe, lightheaded when bending over, painful swollen legs & feet sometimes

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 21, dose 4
MedDRA: Herpes zoster — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I've gotten the beginning signs of shingles....again. I've had them before several times. I take natural remedies to curb full blown outbreak, make sure I'm well rested and eating well.

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-13
Survey response — 3 months, dose 4
MedDRA: Postmenopausal haemorrhage — 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: I have had 2 separate incidents of breakthrough bleeding. I've been in menopause since 2006, and haven't had any bleeding at all since 2011.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-11-12
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-14
Survey response — 12 months, dose 4
MedDRA: Dizziness, Fatigue, Hypertension, Office visit, Respiratory disorder, Thrombosis — 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-05-14
Report sent to call center — 12 months, dose 4
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-05-15
Call successful
Does not wish to fill out VAERS report
2023-05-15
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-04	Moderna	No
4	2022-05-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-28	Successful 2021-11-05	Participant prefers to complete VAERS report online
2022-04-29	Successful 2022-05-02	Does not wish to fill out VAERS report
2022-08-13	Successful 2023-05-15	Does not wish to fill out VAERS report
2023-05-14	Successful 2023-05-15	Does not wish to fill out VAERS report

Free text

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Severe reaction to eating shrimp, which never happened before

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Intermittent nausea and dizziness

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Coughing attack

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Coughing fits -- feels like your head might explode

2021-05-01

Systemic reaction (other): Dizzy, Stuffy head and nose

2021-05-02

Systemic reaction (other): Hives on chest and neck

2021-05-03

Systemic reaction (other): Hives are still itchy, but getting better

2021-05-04

Systemic reaction (other): Neurological, thought processing issues, depression

2021-05-05

Systemic reaction (other): Still having neurological issues, dizziness and extreme fatigue, not feeling rested after sleeping 10 hours

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Hives have gone away, still over tired, better than yesterday

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Still having recurring issues with getting hives almost daily, upon touching certain things or eating certain things. But overall feel much better

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Headaches, high blood pressure, fatigue and weakness, breathlessness, dizziness

Healthcare visit (other): Scheduled an appointment to see dr this coming week (my vacation off work)

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: Numbness/tingling/heat sensation in my left foot. Heat sensitivity leading to extreme fatigue and brain fog.

Release 11 — day 14, dose 4

2022-05-30

Symptoms: Dizziness, unable to catch breathe, lightheaded when bending over, painful swollen legs & feet sometimes

Release 11 — day 21, dose 4

2022-06-05

Symptoms: I've gotten the beginning signs of shingles....again. I've had them before several times. I take natural remedies to curb full blown outbreak, make sure I'm well rested and eating well.

Release 12 — 3 months, dose 4

2022-08-13

Symptoms: I have had 2 separate incidents of breakthrough bleeding. I've been in menopause since 2006, and haven't had any bleeding at all since 2011.

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Burning sensation	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Hypertension	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Temperature intolerance	·	·	✓
SD	Thrombosis	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Food allergy	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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