YWV-12313-16509

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 254 / WV
Registered: 2021-01-29

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Hot flush, Injection site mass — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Diarrhea · Be unable to do your normal daily activities

Free text: Hot flashes last evening 1 x around 6 Pm , explosive diarrhea starting last night at 11 Pm and continuing today. Round red lump at injection site about the size of a plum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches

Free text: Muscle aches in injection arm only and shoulder, feels like I over exercised spent day yesterday resting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Muscle or body aches

Free text: Slight tenderness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site rash — Feeling: Fair

Free text: In the last couple of days I developed a red rash at injection site about 10 days after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine, Sneezing — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing, optical migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine with aura, Ophthalmic migraine, Rhinorrhoea, Sneezing, Tenderness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Optical aura migraine. Tenderness, sneezing, runny nosr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Aura, Sinus disorder, Sinus pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sinus off and on aura

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Sinus disorder — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus allergy symptoms today w/headache. Could be seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — day 14, dose 2
MedDRA: Neurological symptom, Skin exfoliation — Feeling: Good

Free text: Some minor neurological sensations in injection arm and I dont know if related to shot or not but some skin peeling on injection hand. Like blistering.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Fatigue, Pain — Feeling: Fair

Free text: Moments of feelings of fatigue. Minor body aches and pains. Increased daily sugar. Not major but more noticed effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Blood glucose abnormal, Blood glucose increased, Carotid artery disease, Inflammation — Feeling: Fair

Free text: Increased blood sugar and still have inflammation in carotid artery with 1 year exam,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Arthropathy, Blood glucose increased, Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Higher than normal sugar rates. Aches and pains o joint issues

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Hot flashes last evening 1 x around 6 Pm , explosive diarrhea starting last night at 11 Pm and continuing today. Round red lump at injection site about the size of a plum

2021-01-31

Systemic reaction (other): Muscle aches in injection arm only and shoulder, feels like I over exercised spent day yesterday resting

2021-02-01

Systemic reaction (other): Slight tenderness at injection site

Release 4 — day 14, dose 1

2021-02-12

Symptoms: In the last couple of days I developed a red rash at injection site about 10 days after injection

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Sneezing, optical migraine.

2021-03-01

Systemic reaction (other): Optical aura migraine. Tenderness, sneezing, runny nosr

2021-03-02

Systemic reaction (other): Sinus off and on aura

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Sinus allergy symptoms today w/headache. Could be seasonal allergies

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Some minor neurological sensations in injection arm and I dont know if related to shot or not but some skin peeling on injection hand. Like blistering.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Moments of feelings of fatigue. Minor body aches and pains. Increased daily sugar. Not major but more noticed effects

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Increased blood sugar and still have inflammation in carotid artery with 1 year exam,

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Higher than normal sugar rates. Aches and pains o joint issues

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	Arthropathy	✓	·	✓
SD	Blood glucose abnormal	✓	✓	○
SD	Blood glucose increased	✓	✓	✓
SD	Carotid artery disease	✓	✓	○
SD	Condition aggravated	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Skin exfoliation	✓	✓	✓
SRO	Aura	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Migraine with aura	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus pain	○	✓	○
SRO	Sneezing	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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