YVW-18267-11461

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 796 / TX
Registered: 2021-01-13

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

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Survey response — day 0, dose 1
MedDRA: Dizziness, Influenza — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, feel like I have the flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Impaired work ability, Malaise, Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: General malaise. Very thirsty, drinking a lot of water. Watery diarrhea. Was not allowed past checkpoint at work got sent home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Malaise — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: No appetite, malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness, Dry mouth, Pyrexia, Thirst — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Dizziness, extreme thirst, dry mouth, confusion, fever dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Arthritis, Cough, Decreased appetite, Fatigue, Muscular weakness, Pain, Rotator cuff syndrome, Sinusitis, Sneezing, Tendonitis — 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, Outpatient clinic or urgent care clinic visit

Free text: Cough, bad body aches, fatigue, sneezing, sinusitis, loss of appetite, this all lasted for a week. Also diagnosed with rotator cuff injury, tendonitis and arthritis in shoulders which still have pain and weakness.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
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)
2021-08-12
Call successful
Does not wish to fill out VAERS report
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms in late December. Sore throat, headache, body aches, sinus congestion

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-01-14	priority 2/3
2021-01-15	priority 2/3
2021-01-16	priority 2/3
2021-01-18	priority 2/3
2021-08-10	Successful 2021-08-12	Does not wish to fill out VAERS report

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Dizziness, feel like I have the flu

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): General malaise. Very thirsty, drinking a lot of water. Watery diarrhea. Was not allowed past checkpoint at work got sent home.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): No appetite, malaise

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizziness, extreme thirst, dry mouth, confusion, fever dreams

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Cough, bad body aches, fatigue, sneezing, sinusitis, loss of appetite, this all lasted for a week. Also diagnosed with rotator cuff injury, tendonitis and arthritis in shoulders which still have pain and weakness.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Cold symptoms in late December. Sore throat, headache, body aches, sinus congestion

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	Arthralgia	✓	·	✓
SD	Arthritis	✓	·	✓
SD	Cough	✓	·	✓
SD	Decreased appetite	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Muscular weakness	✓	·	✓
SD	Pain	✓	·	✓
SD	Rotator cuff syndrome	✓	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	✓	·	✓
SD	Sneezing	✓	·	✓
SD	Tendonitis	✓	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Thirst	✓	✓	✓

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