YWD-33723-18672

4 vaccinations 4 coded responses 33 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 483 / MI
Registered: 2021-01-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Infection, Rhinorrhoea, Vomiting — Feeling: Good · Site: Itching

Free text: I spit up a little infection. You would think it would be green but it was bright bright yellow. My nose is running a little last night and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Swelling · Joint pains

Free text: I have both knees replaced and normally no pain irritation but my right knee beginning to ache last night and its a little achy today and thats never happened before. I took Tylenol and it was a little better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Dose 3 — Moderna
2021-10-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — 6 months, dose 4
MedDRA: COVID-19, Exposure to SARS-CoV-2 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was COVID positive after a rider in my car got Covid And gave it to me during our four hour ride from a conference

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-10
Call 3 — Could Not Reach Participant
2022-10-13
Call X — Left Voicemail
2023-04-10
Survey response — 12 months, dose 4
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-11
Call 1 — Could Not Reach Participant
2023-04-11
Call 1 — Could Not Reach Participant
2023-04-14
Call 2 — Could Not Reach Participant
2023-04-14
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-09-18	Moderna	No
4	2022-04-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-07	Unsuccessful
2023-04-10	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): I spit up a little infection. You would think it would be green but it was bright bright yellow. My nose is running a little last night and today

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): I have both knees replaced and normally no pain irritation but my right knee beginning to ache last night and its a little achy today and thats never happened before. I took Tylenol and it was a little better

Release 12 — 6 months, dose 4

2022-10-07

Symptoms: I was COVID positive after a rider in my car got Covid And gave it to me during our four hour ride from a conference

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	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Infection	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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