YXE-19752-41236

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-02-19

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

2021-01-19
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · 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
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Free text: Slept 14 hours last night, almost none the night after the shot so definitely feeling better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I still feel bone weary but Im very grateful for the vaccine!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Disturbance in attention, Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue is almost constant and Im feeling fuzzy brained, hard to concentrate and forgetting words. Im a writer, that never happens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Fatigue, Pre-existing disease, Pruritus, Sinus headache, Vertigo — Feeling: Poor

Free text: Increased fatigue (almost constant), increasing vertigo and frequent if mostly moderate sinus type headache. Also intermittent itching on back and torso, but no visible welts or rash. Im glad Im retired and dont have to try to work!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Abulia, Brain fog, Communication disorder, Confusional state, Erythema, Feeling abnormal, Peripheral swelling, Pruritus, Swelling — Feeling: Fair

Free text: Weird intermittent itching on torso now also on hands and feet, which suddenly get red, itchy and swollen. Episodes last about half an hour then subside also brain fog and confusion appear intermittently Hard to make decisions or answer direct que

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Pruritus, Sinusitis, Vertigo — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus infection, vertigo and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Fatigue, Jaw fracture, Tooth abscess, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tooth abscess, jaw fracture, ongoing vertigo and fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2022-02-21
Survey response — 12 months, dose 2
MedDRA: Chills, Headache, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Good · 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: Fever chills bad headache sore throat horrible muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-02-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-20	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-21	Successful 2022-02-22	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Slept 14 hours last night, almost none the night after the shot so definitely feeling better

2021-02-22

Systemic reaction (other): I still feel bone weary but Im very grateful for the vaccine!

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Fatigue is almost constant and Im feeling fuzzy brained, hard to concentrate and forgetting words. Im a writer, that never happens.

Release 6 — day 28, dose 2

2021-03-19

Symptoms: Increased fatigue (almost constant), increasing vertigo and frequent if mostly moderate sinus type headache. Also intermittent itching on back and torso, but no visible welts or rash. Im glad Im retired and dont have to try to work!

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Weird intermittent itching on torso now also on hands and feet, which suddenly get red, itchy and swollen. Episodes last about half an hour then subside also brain fog and confusion appear intermittently Hard to make decisions or answer direct que cut off by CDC

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Sinus infection, vertigo and itching

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Tooth abscess, jaw fracture, ongoing vertigo and fatigue

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: Fever chills bad headache sore throat horrible muscle aches

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	Abulia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Communication disorder	·	·	✓
SD	Confusional state	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	·	·	✓
SD	Jaw fracture	✓	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sinus headache	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Swelling	✓	✓	○
SD	Tooth abscess	✓	·	✓
SD	Vertigo	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓

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