YXG-33186-68319

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 469 / IN
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair

Free text: Chest discomfort/ sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Palpitations — Feeling: Fair · Joint pains

Free text: Chest discomfort/palpitations, sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Sob/ heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 2
MedDRA: Arthralgia, Blood pressure increased, Dyspnoea, Headache, Impaired work ability, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: Blood pressure extremely elevated , body aches one day , sore throat the next , painful knees , shirt of breath nothing at the same time . Today headache that has kept me down all day . Called off work · Healthcare visit (other): Labs , X-ray, ct , ekg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 14, dose 2
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)
2021-02-10
Survey response — day 21, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Thought I was having a heart attack , X-ray , labs , ct now have mri scheduled big my brain due to symptoms since I have had covid and the vaccines · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 21, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Blood pressure increased, Dyspnoea, Insomnia, Muscle discomfort — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Muscle discomfort in legs , knee pain difficulty sleeping some times , elevated blood pressure, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call successful
Participant prefers to complete VAERS report online
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-04	Successful	Participant prefers to complete VAERS report online
2021-02-10	Successful	Participant prefers to complete VAERS report online
2021-04-21	Successful 2021-07-07	Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Sore throat

2021-01-25

Systemic reaction (other): Chest discomfort/ sob

2021-01-26

Systemic reaction (other): Chest discomfort/palpitations, sob

Release 2 — day 7, dose 2

2021-01-27

Systemic reaction (other): Sob/ heart palpitations

Release 3 — day 14, dose 2

2021-02-04

Symptoms: Blood pressure extremely elevated , body aches one day , sore throat the next , painful knees , shirt of breath nothing at the same time . Today headache that has kept me down all day . Called off work

Healthcare visit (other): Labs , X-ray, ct , ekg

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Thought I was having a heart attack , X-ray , labs , ct now have mri scheduled big my brain due to symptoms since I have had covid and the vaccines

Healthcare visit (other): Office visit

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Muscle discomfort in legs , knee pain difficulty sleeping some times , elevated blood pressure, short of breath

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Muscle discomfort	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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