YVH-29657-73287

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 285 / NC
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Survey response — day 0, dose 1
MedDRA: Dry mouth, Dysphagia, Medical observation, Pharyngeal hypoaesthesia, Throat tightness — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dry mouth, needing to swallow continuously like throat is numb or tight · Healthcare visit (other): The PA at the vaccine clinic gave me 2 Benadryl and monitored my BP until it went down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Having to work to swallow. Took more Benadryl and got better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Dysphagia, Pain, Paraesthesia, Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Had trouble with some swallowing again this am and took Benadryl again and it helped. Also last night with body aches and chills I had some tingling at the tips of my fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Head discomfort, Nasal congestion, Office visit, Pain, Pyrexia, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work, 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: Head pressure. Body aches. Congested nose. Low grade fever. Went to Urgent care. Was diagnosed with a sinus infection Placed on Azithromycin pack. I did ask for COVID19 test. They were negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Immediate post-injection reaction, Self-medication, Speech disorder, Tongue disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Had not numbness in cheeks about 20 mins after injection. Tongue felt thick and had to work at speaking clearly. Temp I sent with Advil and Tylenol in me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Pain, Self-medication, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night I had to take Advil and Tylenol again to keep from shivering and aching. Was better this morning. As the afternoon went on I became very tired and achey again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Lymphocyte count decreased, Platelet count decreased, White blood cell count decreased — Feeling: Good

Free text: Just had blood work done after and big change in my normal numbers. AST,ALT above high normal. WBC, PLATELETS , AND LYMPHS are below low normal. Talking to my Doctor soon. Could this be from the vaccine I received? I would be more than happy to share my n umbers with someone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Be unable to work or attend school

Free text: Blood pressure a little elevated and heart rate higher. Sometimes 135 BPM at work. Could be stress related but goes up and down a lot.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Just tired. Not a lot of energy.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-13	Successful 2021-01-20	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Dry mouth, needing to swallow continuously like throat is numb or tight

Healthcare visit (other): The PA at the vaccine clinic gave me 2 Benadryl and monitored my BP until it went down.

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Having to work to swallow. Took more Benadryl and got better

2021-01-01

Systemic reaction (other): Had trouble with some swallowing again this am and took Benadryl again and it helped. Also last night with body aches and chills I had some tingling at the tips of my fingers.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Head pressure. Body aches. Congested nose. Low grade fever. Went to Urgent care. Was diagnosed with a sinus infection Placed on Azithromycin pack. I did ask for COVID19 test. They were negative.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Had not numbness in cheeks about 20 mins after injection. Tongue felt thick and had to work at speaking clearly. Temp I sent with Advil and Tylenol in me.

2021-01-30

Systemic reaction (other): Last night I had to take Advil and Tylenol again to keep from shivering and aching. Was better this morning. As the afternoon went on I became very tired and achey again.

2021-02-02

Systemic reaction (other): Just had blood work done after and big change in my normal numbers. AST,ALT above high normal. WBC, PLATELETS , AND LYMPHS are below low normal. Talking to my Doctor soon. Could this be from the vaccine I received? I would be more than happy to share my n umbers with someone.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Blood pressure a little elevated and heart rate higher. Sometimes 135 BPM at work. Could be stress related but goes up and down a lot.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Just tired. Not a lot of energy.

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	Medical observation	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Blood pressure increased	✓	·	✓
SD	Fatigue	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Alanine aminotransferase increased	✓	✓	✓
SRO	Aspartate aminotransferase increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphocyte count decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pharyngeal hypoaesthesia	✓	✓	✓
SRO	Platelet count decreased	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Speech disorder	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Tongue disorder	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	White blood cell count decreased	✓	✓	✓

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