YXL-84393-07025

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 802 / CO
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Minor, temporary earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased — Feeling: Good · Headache

Free text: Slightly elevated temp: 99.4F. Only found out while trying to determine whether work thermometer needed calibration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches, less frequently than the days immediately following vaccination.

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

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · 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
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Unsure if symptoms r/t vaccine or exposure to child w/ rhinovirus-like cold symptoms.

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: Ear disorder, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat and ear canals

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 · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Hypermobility syndrome, Loose body in joint — Feeling: Good

Free text: Haven't mentioned this because I'm not sure it's related to the vaccine, but since the time of the 2nd dose my joints have felt extra loose and need to pop more often. This also happens every time I visit the East coast and I have no idea why. ??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Restless legs syndrome, Sleep disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Restless legs that kept me awake at night (probably didn't drink enough water that day), OCD

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-19	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Minor, temporary earache

2021-01-26

Systemic reaction (other): Slightly elevated temp: 99.4F. Only found out while trying to determine whether work thermometer needed calibration.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Headaches, less frequently than the days immediately following vaccination.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Unsure if symptoms r/t vaccine or exposure to child w/ rhinovirus-like cold symptoms.

2021-02-22

Systemic reaction (other): Sore throat and ear canals

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Haven't mentioned this because I'm not sure it's related to the vaccine, but since the time of the 2nd dose my joints have felt extra loose and need to pop more often. This also happens every time I visit the East coast and I have no idea why. ??

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Restless legs that kept me awake at night (probably didn't drink enough water that day), OCD

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Joint pain

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	Headache	✓	✓	✓
SD	Hypermobility syndrome	✓	·	✓
SD	Loose body in joint	○	✓	○
SD	Pre-existing disease	✓	·	✓
SD	Restless legs syndrome	✓	·	✓
SD	Sleep disorder	✓	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Ear disorder	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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